Membership Application
Women in Business 2018-2019 Application
First Name *
Last Name *
Email *
PID# *
Phone Number *
Major *
Year *
Birthday (xx/xx/xxx) *
Expected Graduation *
Local Adress *
Membership *
Joint Membership (Extra $10 per organization)
Which organization is your primary? *
Payment Method: To be an active member payment is required. You may pay Kelly Proffitt in person for checks, cash, or card. You can Venmo WBSA at anytime for membership dues. Please choose your payment method. (Fall - $20, Spring - $20, Both Semesters - $30) *
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