WOMEN'S INFORMATION NETWORK OF SIMI VALLEY
Membership Application
Date
INSTRUCTIONS:
New Members complete through Line 12
Renewing Members complete through Line 3 & Line 12
Members requesting page/badge change complete through Line 12
See WINS fee schedule at bottom of page
Referred by:
1. Type of Membership:
2. First Name Middle Name Last Name
3. Title/Position: Business/Organization:
4. Business Address: City: Zip:
5. Business Phone: () Mobile#: ()
6. E-mail: URL:
7. Home Address: City: Zip:
8. Home Phone: () Preferred Mailing Address: Business Home
9. Description of Business and/or Services for Directory Page (Describe in 50 words or less):
10. Organizational Affiliations/Memberships Held for Directory Page
11. Company Membership only: If you are ordering additional directory page(s), badge(s), of directory(ies) email a
separate page for each. Be sure to include appropriate fees.
12. To order badge please complete:
Name: 1 line
Business Name/Organization: 2 line
13. Would you like a hyperlink from our site to yours? ( $25 ) Yes No
14. Hyperlink:
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W
INS
Ventura County Professionals Promoting the Success of Career-oriented Women
WINS FEE SCHEDULE
Individual Membership
Member Annual Dues
90.00
Company Membership
Annual Dues
130.00
Additional or New Badges
10.00
Dues for the first year will be prorated for those individuals or companies
joining after March 31st.
Prorated Dues
Individual - Company
Jan - June
90.00 - 130.00
July - Dec
78.00 - 100.00
Renewals
The membership renewal each year is $50.00 for individuals and $90.00 for company
memberships. Renewals are due in November.
Luncheon Fees
Members
22.50
Visitors*
26.00
*Visitors are welcome to attend 2 meetings and then we would ask that they join.
P.O. Box 1586, Simi Valley, California 93062