Membership

Please Select Membership Level Below and again at check out process.

Choose Your Membership Level: (Flexible Payment Options available)

Is this a New or Renewing Membership?*

NEWRENEWALUPGRADE

Silver and Gold President's Club Members

Can Be featured on our exclusive Speakers Bureau

Take advantage of one of the premium benefits of being a President's Club Member by being featured on our Speakers Bureau. This is a directory for event planners, podcast hosts, television and radio hosts, and more who are looking for a Speaker or Media Guest.

You will be in company with numerous Honorary Members, well known for their contributions as professional Christian women in both secular and Christian media. This also includes a direct link to your website.

Student ID. (upload current ID)

Student under 25 years of age with valid current student ID

Upload your Bio. 250 words max (use this temp bio. for now, I will send updated bio later)*

(Max file size 10MB)

Upload Your Headshot (use this pict. for now, I will send professional picture later)*

(Max file size 10MB)

Website*

Mobile Phone*

Street Address*

City*

State*

12345*

Zip Code

Social Media Platform 1st*

Facebook / Instagram handle

Social Media Platform 2nd

Linkedin / X

Your Media Types*

Which Connect City are you close to?*

How did you hear about CWIMA?*

Friend or ColleagueSocial MediaWebsiteOther

I agree with the following:*

I have personally experienced faith in Jesus Christ.I agree to post the CWIMA Member Logo with hyperlink on my website.I agree with the CWIMA Statement of Faith.

If applicable, who referred you to CWIMA?

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Membership Registration Form