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.Consent I agree to mail a check for the Annual Dues to: WIN, PO Box 1393, Willmar, MN 56201.Annual Dues are $60. We prorate membership. July 1st is the start of our year. 7269
