Women supporting, networking, educating, & building relationships Our Core Strengths Networking Skill Building & Education Leadership & Development Mentoring Membership Application Name(Required) First Last Address(Required) Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Employer(Required)Position(Required)Home Phone(Required)Work Phone(Required)Email(Required) Birthday (Month/Day)(Required)In addition to becoming a member, I am also interested in joining the following committees: Fundraising Mentoring Membership Mentor Public Relations Scholarship Newsletter Honor Night Annual Dues are $60. We prorate membership. July 1st is the start of our year.