Women in Development North - 2017/18 Membership Application
Please fill out the form completely.
Are you a new or a returning member?
Preferred Phone Number
Alternate Phone Number
Social Media Used
I give permission to include a link to my LinkedIn profile in the directory.
I give permission to include a link to my LinkedIn photo in the WIDN directory.
I do not want my LinkedIn information included in the WIDN directory.
Annual membership dues: $40 ($20 prorated after 2/1/18-new members only) I will pay by:
Zelle (Click the Zelle information toward the bottom of the WIDN Join page -
Check (Mail to Alicia Garcia, Waukegan Public Library, 128 N. County Street, Waukegan, IL 60085)
Please mark your top three skills.
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Terms of Service