MAKING A DIFFERENCE

CINCINNATI BUSINESS & PROFESSIONAL WOMEN

MEMBERSHIP INFORMATION AND APPLICATION TO:

NAME_______________________TITLE/POSITION_________

COMPANY NAME_____________________________________________ 

ADDRESS__________________________________________

City___________________________________zip___

TELEPHONE_________________________ work, home, or cell

E-MAIL____________________________________________

HOME ADDRESS_____________________________________

      City___________________________________zip___

TELEPONE_________________________E-MAIL___________

CONTACT PREFERENCE       HOME  (  )                 BUSINESS  (  )

ANNUAL MEMBERSHIP DUES $60.00 (INCLUDES LOCAL & STATE DUES)

                       Make Check payable to: Cincinnati BPW                                                                       

MAIL THIS FORM ALONG WITH CHECK TO 

CINCINNATI BUSINESS & PROFESSIONAL WOMEN

P O BOX 6488

CINCINNATI, OHIO 45206