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Cherry Creek Business Women's Network

Membership Application
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 If the address where you receive the credit card bill is different than above, please enter it here.
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What is your occupation?
What would you like us to put in the online Membership Directory?
Describe what you do: include your website if applicable. If it’s easier, you can email this information to Lisa Voncino at lisa@sundanceconsulting.com
Does CCBWN have your permission to use your photo in promotional materials and on the website? Yes No
How did you hear about CCBWN? From a member Networking Website Social Networking Other
Please list Member Name, Networking Website, or Social Networking where you heard about CCBWN
Where can we use your talent? Join a Team Legislation Budget/Finance Newsletter Membership Website/Social Media Marketing/Publicity
Monthly Programs
Are you a: New Member Renewal Transfer
If you transeferred from another CCBWN please enter it here
Please Select Your Membership
Trailblazer ($135.00) - Professional
Apprentice ($60.00) - Student
Pioneer ($70.00) - over 65
Corporate Membership ($500.00) - Send up to 4 people (the same or different each time) to each and every event.
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Contact Regina Foley, 610-506-1555, rfoley@westernaffiliated.com