Inspiring Women Membership Form
Describe your business details and pay membership fees for membership to be complete (CC payments can be paid at
) or paypal at
Please indicate what Membership you are applying for
Directory Listing Only - (do not fill out the rest of this form) $33.00 Payment details via
Online Membership (for those who cannot attend meetings) includes Directory Listing + FB group + online meetings - $50.00
Regular Membership - $149.00 includes all of the above plus you attend meetings at members prices
VIP membership -$279.00 (you are prepaying 5 events per year) + all of the above
Corporate Membership - $299.00 ( this is for companies who have up to 3 staff attending meetings)
Description of Business (Industry)
Products or Services
Date Business Established
No. of Employees
How did you find out about Inspiring Women?
From a friend
on the grapevine
Our membership list is available to financial members of Inspiring Women Pty Ltd for distribution of newsletters ,e-letters, membership directories, special offers and newspaper articles. Under the Privacy (Amendment) Act 2001, we are required to seek permission from our members to use their business details in the above mentioned and similar business activities. Please indicate whether or not you are willing for your business details to be used for Inspiring Women Pty Ltd. activities.
Do you agree to the above statement?
Send me a copy of my responses.
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