Membership Application www. bpwtn. com The tools you need to succeed.
Personal Information
Date: _________________ Name: ____________________________________________________________
Company name: ____________________________________________________ Work Address: _____________________________________________________ City, State, Zip( please include + 4): ____________________________________ Home Address: _____________________________________________________ City, State, Zip: ____________________________________________________ Please indicate your preferred mailing address: ____ Home ____ Work Home Phone: _________________ Work Phone: __________________________ Fax:_______________________ E-mail: ________________________________
Because every working woman is a business woman!
Member of Local( MOL)*
By joining through a Local Organization, you’ ll have access to meeting and networking opportunities in your area. This category includes membership in the local and state levels of BPW / TN. State dues are $ 50.00. Local Organization dues vary.
Senior Member of Local For ages 65 and older. State dues are $ 40.00. Student( SOL)*
This category offered to students, provides all the benefits of a Member. You must be registered to an accredited program at least part-time. State dues are $ 15.00. Local Organization dues vary.
* For more information on Locals in your community, please contact BPW / TN at the address below or e-mail at info @ bpwtn. com.
Member at Large( MAL)*
By joining as a Member at Large, you’ ll have e-mail access to Legislative updates and other information related to issues important to working women. This category includes membership at the state level of BPW / TN. State dues are $ 75.00.
Senior Member at Large For ages 65 and older. State dues are $ 65.00.
* All categories of membership include a subscription to the Achiever, the official publication of BPW / TN, by e-mail or postal for those without e-mail access.
Member Type MOL ____
Student ____ Member at Large
____ Senior MOL _____
Senior Member at Large _____ If a BPW / TN Member assisted you in learning more about our organization, please list their name below.
____________________________________________________________ Name
For Member Of Local, Senior Member of Local or Students that want to affiliate with a Local, send this form and remit dues directly to your Local Organization.
Name of Local: _______________________________________________________
To complete a Member at Large membership, return this form with your annual state dues to: BPW / TN Membership Application 718 Thompson Lane Suite # 108-323 Nashville, TN 37204
A portion of membership dues goes toward publication costs. This amount is inseparable from dues.
77 June 2011