Capital Region Women's Network A local chapter of New York State Women, Inc.
MEMBERSHIP APPLICATION
Applicant Information:
Name: ____________________________________________________ Title: ____________________________________________________ Company Name: ____________________________________________ Work Address: ____________________________________________ City, State, Zip: ____________________________________________ Work Phone: ____________________________________________ Email: ____________________________________________ Home Address: ____________________________________________ City, State, Zip: ____________________________________________ Preferred Mailing Address: ____ Home ____ Work Home Phone: ____________________________________________ Email: ____________________________________________
Dues Requested: Capital Region Women's Network: $60 (includes membership in New York State Women, Inc.)
Dues may be remitted to: Capital Region Women's Network P.O. Box 391 Delmar, NY 12054
New York State Women, Inc. promotes full participation, equality, and economic self-sufficiency for working women
The objectives of NYS Women, Inc., are to elevate the standards for women in business and the professions, promote the interests of business and professional women, bring about the spirit of cooperation among business and professional women in the US, and extend opportunities to business and professional women through education.
Our membership is open to women and men who are actively engaged in business or in the professions and who support the objectives of NYS Women Inc.
