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Fields indicated by an asterisk (*) are required. |
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*Email: |
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*Email (confirm): |
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*Password: |
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*Password (confirm): |
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*Last Name: |
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*First Name: |
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Middle Name or Initial: |
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*Street Address 1: |
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Street Address 2: |
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*City: |
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*State: |
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*Zip: |
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*Phone 1: |
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Phone 2: |
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Fax: |
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HomePage URL: |
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My Business Name: |
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*Include me in: |
Member Directory
Online Database
Both
None
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Include My HomePage and Business Name in BWA Members on the Web: Yes
No
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Enter up to 12 software programs you are familiar
with - maximum 20 characters each: |
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*Software 1: |
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Software 7: |
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Software 2: |
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Software 8: |
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Software 3: |
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Software 9: |
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Software 4: |
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Software 10: |
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Software 5: |
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Software 11: |
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Software 6: |
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Software 12: |
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Enter up to 10 computer operating systems you are
familiar with - maximum 20 characters each: |
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Operating System 1: |
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Operating System 6: |
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Operating System 2: |
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Operating System 7: |
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Operating System 3: |
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Operating System 8: |
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Operating System 4: |
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Operating System 9: |
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Operating System 5: |
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Operating System 10: |
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Describe your experience below - maximum 13 lines. (Shows in printed
directory only.)
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List your clients below - maximum 3 lines. (Shows in printed directory only.)
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Enter your summary statement below - maximum 4 lines. (Shows in search
results and printed directory.)
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Choose up to 7 professional specialties. You will be listed in the index under
these categories: |
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*Specialty 1: |
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Specialty 2: |
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Specialty 3: |
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Specialty 4: |
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Specialty 5: |
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Specialty 6: |
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Specialty 7: |
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*Volunteer Interests: |
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Student Volunteer Membership |
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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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