CEO Women - C.E.O. Women Connected Membership Enrollment Form

C.E.O. Women Connected Membership Enrollment Form

Please note: we will keep all your information confidential and will NOT share this information with anyone else.

Current Personal Information:
Name*:
Mailing address*:
City*:
State*:
Zip*:
Daytime Phone*:
Cell Phone:
Email*:
Business Information:
Please note: you do not need to be operating a business to become a Women Connected member.
Business Name:
Mailing address:
City:
State:
Zip:
Business Phone:
Fax:
Type of Busness:

Membership Benefit Information Please put a check mark next to the benefits you want to be enrolled in within the next six months: (You can check more than one box.)
Business assistance:		FREE business workshops from C.E.O. Women (value of $10 each)
		A 20% discount on C.E.O. Women business coaching (cost depends on household income)
		Discounts on small business conferences and workshops hosted by partner organizations
		One FREE marketing consultation via phone with a marketing expert (value of $100/hour)
Advertising and Selling Opportunities:		Business advertising at C.E.O. Women events
		Business advertising on the C.E.O. Women website and Venture Pages
		Invitations to sell your products at business expos in the community and through C.E.O. Women
Networking:		A C.E.O. Women listserv (a listserv is an email list to help Women Connected members stay in touch with each other and C.E.O. Women)
Other benefits Are there any other benefits you would like to have? Please explain. Click submit to to sign up for membership and pay.