BPWC Membership Application 
Thanks for your interest in the Business & Professional Women's Organization in St. Martin.  We kindly request your assistance to fill in the following information.  

Please also note the following:
- By becoming a member of BPW Concordia Saint Martin, you will become a member of BPW International.
- A one-time registration fee of 20 Euros is required.  Monthly membership fees are 20 Euros.  
- General membership meetups are scheduled to take place once a month
Sign in to Google to save your progress. Learn more
Email *
First Name + Middle Name *
Last Name *
Date Of Birth *
MM
/
DD
/
YYYY
Phone number *
Address *
Profession *
Who referred you to BPW Concordia SXM? *
Required

What is the primary reason for you joining / rejoining BPWC?

Clear selection

If you responded "Other" above please put reason here

Which Activities / Committees of the Club are you interested in?

Members between the ages of 18 and 35 also form members of the Young BPW International Group

Clear selection

PAYMENT OPTIONS: All payment plans include the payment of 20 Euros fee for BPW International.  New Members are required to pay 20 Euros registration fee.

Clear selection

MEMBERSHIP TYPE: 

Clear selection
Please list any question you might have regarding BPW Concordia SXM and Membership
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
GoogleForms
reCAPTCHA
PrivacyTerms
This content is neither created nor endorsed by Google.