WIT SD application

San Diego Chapter Membership Registration
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Name

Address

City State Zip Code

Zip Code

Phone Number Fax Number

E-mail Address

Website

How did you hear about us? Friend ___ (Name) ____________________________________
Website___ Newspaper (which one)____________________

Calendar of Events (which one)________________________

Are you interested in participating in any of our committees below?

Programs Photography Newsletter

Hospitality Job Bank Speakers Bureau

Public Relations Historian

Membership Levels (Circle one)

Corporate Membership $150.00 Membership for 3 individuals from the same company
1 voting privilege

Associate $100.00 Membership for 2 individuals from the same company
1 voting privilege

Individual Membership $60.00 Membership for 1 individual
1 voting privilege

Student Membership $30.00 1 voting privilege

For Internal Use Only

Date Received Received By

Follow-up

Please mail annual dues to:

Women in International Trade, San Diego
P.O. Box 880383
San Diego CA 92138-0383
Voice Mail: 619-525-3539
e-mail contact: owitsandiego@hotmail.com

Name
Address

City			State	Zip Code
Zip Code
Phone Number		Fax Number
E-mail Address
Website
How did you hear about us?	Friend ___ (Name) ____________________________________ Website___ Newspaper (which one)____________________ Calendar of Events (which one)________________________

Programs	Photography	Newsletter
Hospitality	Job Bank	Speakers Bureau
Public Relations	Historian

Corporate Membership	$150.00	Membership for 3 individuals from the same company 1 voting privilege
Associate	$100.00	Membership for 2 individuals from the same company 1 voting privilege
Individual Membership	$60.00	Membership for 1 individual 1 voting privilege
Student Membership	$30.00	1 voting privilege