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Membership Form


Please provide the following information. (If desired, view help in PDF file.)

 

Fields indicated by an asterisk (*) are required.

*Email:
*Email (confirm):
*Password:
*Password (confirm):
 
*Last Name:
*First Name:
Middle Name or Initial:
*Street Address 1:
Street Address 2:
*City:
*State:
*Zip:
*Phone 1:
Phone 2:
Fax:
HomePage URL:
My Business Name:
*Include me in:
Member Directory Online Database Both None
Include My HomePage and Business Name in BWA Members on the Web: Yes No
Enter up to 12 software programs you are familiar with - maximum 20 characters each:
*Software 1:
Software 7:
Software 2:
Software 8:
Software 3:
Software 9:
Software 4:
Software 10:
Software 5:
Software 11:
Software 6:
Software 12:
Enter up to 10 computer operating systems you are familiar with - maximum 20 characters each:
Operating System 1:
Operating System 6:
Operating System 2:
Operating System 7:
Operating System 3:
Operating System 8:
Operating System 4:
Operating System 9:
Operating System 5:
Operating System 10:
Describe your experience below - maximum 13 lines. (Shows in printed directory only.)
List your clients below - maximum 3 lines. (Shows in printed directory only.)
Enter your summary statement below - maximum 4 lines. (Shows in search results and printed directory.)
Choose up to 7 professional specialties. You will be listed in the index under these categories:
*Specialty 1:
Specialty 2:
Specialty 3:
Specialty 4:
Specialty 5:
Specialty 6:
Specialty 7:
*Volunteer Interests:
Student Volunteer Membership
Note: Specifying and completing a Volunteer Interest entitles you to half-price membership renewal rate next year. Specifying a Volunteer Interest helps us make an appropriate match. The student volunteer rate is available only to currently-enrolled students pursuing a degree, and requires volunteer duty each year.

1. Before submitting, check your information.
2. Print this page.
3. Make an online payment of $50 (or $15 for student volunteer) using a credit card and PayPal. The PayPal page appears after you submit this form.
4. Click Submit Form.

Note: We encourage payment through PayPal. However, if you choose not to pay online, you can pay the treasurer in person at a BWA meeting, and your membership will be activated once payment is received. After you submit your membership form (step 4), just send an e-mail to treasurer @ bwa.org to make such an arrangement.
   

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Last update: 3 April 2003

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