NAWBO Greater Detroit
National Association of Women Business Owners


 

MEMBERSHIP APPLICATION
Greater Detroit Chapter, National Association of Women Business Owners

PERSONAL INFORMATION

First name:
Middle initial:
Last Name:
Company:
Street address:
City:
State
Zip code:
Work Phone:
Fax:
E-mail:
Web site address:


BUSINESS INFORMATION
Years in business: 
Sole Proprietorship Partnership Corporation Other

Percentage of business that you own: 

Primary Business Category:


Primary product or service:


Business area (check all that apply):
Local Regional State National International

Business Description


Home based business:
Yes    No

Number of employeess (including self)
Full time:    Part time: 

Are you certified as a vendor for any procurement programs?
Yes No
If Yes:   WBE    MBE    MBI   


DUES & MEMBERSHIP:
Membership in NAWBO is recorded in the name of the individual, not the organization. Membership dues are non-refundable and are billed annually on the anniversary date of acceptance. Upon joining, new members will pay a full year's dues to National and Greater Detroit Chapter. Dues quoted are current as of 5/00 and are subject to change. We are required to advise you that your Association dues are not deductible as a charitable contribution for Federal income tax purposes. In compliance with the Omnibus Budget Reconciliation Act of 1993, it is estimated that 1% of the payment is nondeductible as a business expense.


Select Membership Category:

Voting
Established Business Owner, $225 (includes $100 for National and $25 one-time registration fee)

Non-Voting
Emerging Business Owner, $175 (in business less than 2 years, must renew at $200 - includes $100 for national and $25 one-time registration fee.)
Supporting Member, $275 (individual who subscribes to the objectives of NAWBO)
Sustaining Member, $325 (organizations that subscribe to the objectives of NAWBO)

Student
Student (National), $50 + $25 Processing Fee
Student (Local), $50 Processing Fee

Billing Information (as it appears on billing statment)
First Name:
Last Name:
Address:
City:
State:
Zip Code:
Phone:

Credit Card Type:
Visa:   Mastercard:   American Express:
Credit Card #
Exp. Date (mm/yy)   /




 

© Copyright 2003-2008 National Association of Women Business Owners- Greater Detroit Chapter. All Rights Reserved.

NAWBO-GDC
26677 West 12 Mile Rd. • Southfield, MI 48034 • phone 313.961.4748 • fax 248-479-0331
http://www.nawbogdc.orginfo@nawbogdc.org