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NWP Member Info Sheet
Member information form for membership committee use. Your information will only be used for communication with NWP. Thank you.
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* Indicates required question
Name (preferred for Name Badge)
*
Your answer
Best email address
*
Your answer
Best phone number
*
Your answer
Best mailing address
*
Your answer
Best way to contact you
*
Text
Call
Email
Other:
Required
Preferred payment method (for membership dues)
*
Check
Debit/Credit Card (3% fee applicable)
EFT/Wire cash transfer
Securities/stock/bonds transfer
Payment plan/monthly withdrawal
Other:
Does your employer/company have a matching funds program?
*
Yes
No
Would you be interested to learn about any of the following roles/committees? (We are an all-volunteer group with no paid staff.)
Grant Screening Committee
Communications Committee
Events & Education Committee
Endowment Committee
Membership Committee
Volunteer Committee
None at this time
Other:
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