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PWA Membership Agreement


I hereby submit my application for membership in the Professional Women's Alliance.

By submitting this application I agree that Professional Women's Alliance (PWA) reserves the right to use any photograph/video taken at any event sponsored by PWA, without the expressed written permission of those included within the photograph/video. PWA may use the photograph/video in publications or other media material produced, used or contracted by PWA including but not limited to: brochures, invitations, books, newspapers, magazines, television, websites, etc.

Are you a New or Returning Member?:

 

Name: 

Company Name:   

Title:   

Company Address:  

Company City, State, Zip: 

Work Phone:   

Home/Mobile Phone:   

E-Mail:   

Web Site:   

Home Address:  

Home City, State, Zip:  

I Am Interested in the Following Committee(s): 

 

Who referred you to PWA?

What do you hope to gain from your PWA membership?

Are you an Emerging Professional? 

PWA Emerging Professional Members are individual members who describe themselves as any of the following: 1) under the age of 35; 2) in the first five years of working in their industry; 3) members who have recently re-entered the workforce; or 4) those who are stepping into new industries or new positions. 

 

 

Leave this empty:

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Signature Certificate
Document name: PWA Membership Agreement
lock iconUnique Document ID: fcfb50d9d1a9dc51320d3ac592af547ebb435d3a
Timestamp Audit
January 30, 2018 2:25 pm CSTPWA Membership Agreement Uploaded by Julie Hohe - stlpwa@gmail.com IP 174.86.87.8
March 21, 2019 12:48 pm CST Document owner marcel@marcelbrown.com has handed over this document to stlpwa@gmail.com 2019-03-21 12:48:56 - 104.63.3.22