Guelph Women in Networking (GWIN) A business networking group for women

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Your privacy is important to us. For any details you don't want to be displayed in the member directory, please uncheck the box marked Publish found next to it. If you don't wish to receive communications from GWIN by email or postal mail please uncheck the appropriate box.

Print Blank Registration Form

Fields marked with * are mandatory.

First name: *
Last name: *
Accreditations: (i.e. MD, CA, B.Sc.)
Company Name:

Work Address: *	Publish
	Street:

	City:	Province:
	Postal Code:

Mailing Address:	Same as work address Publish
	or
	Street:
	Street:
	City:	Province:
	Postal Code:

Publish
Web Site:
E-mail:
Cell Phone:	( ) ext
Fax:	( ) ext
Home Phone:	( ) ext
Toll Free:	( ) ext
Work Phone:	( ) ext

Would you like to receive GWIN announcements by email? Yes

Occasionally, there will be GWIN mailings. Would you like to receive GWIN mail at your home address (or work address, if different from your home address)? Yes

Please describe your business in 30 words or less for publication in the member directory :

Yes, I need a GWIN name tag. (replacement name tags are $10)

Yes, I need a photo taken for the directory/Web site.

Please select up to three categories under which your business best fits:

	Auto Repair
	Beauty Supplies/Services
	Business Services
	Chiropractic
	Computer Consulting
	Fashion
	Financial Services
	Food Services
	Furniture
	Graphic Arts/Publishing
	Health/Wellness
	Heating & Air Conditioning
	Home Decor
	Home Repair and Renovation
	Hospitality Services
	Human Resources
	Interior Design
	Jewellery
	Landscaping
	Legal Services

	Manufacturing
	Marketing Communications
	Moving/Relocation Services
	Organizing Consulting
	Personal Care Products
	Photographers/Photo Specialists
	Printing
	Professional Speaking
	Real Estate
	Rehabilitation Therapy
	Retail
	Staging
	Storage
	Teaching/Training
	Therapy/Counselling
	Transportation
	Travel Services
	Visual/Fine Arts
	Web Site Design/Hosting
	Writing Services

Other:

Please tell us how you heard about GWIN:

	Am a returning GWIN member
	Which year?
	Referred by a GWIN member
	Which member?
	Read a newspaper ad
	Which paper?
	Heard a radio ad
	Which radio station?
	Saw GWIN at a tradeshow
	Which tradeshow?
	Other
	Please specify

Payment:
Early Bird $90.00 (Available May 1 to July 15)
Regular $100.00 (Available July 16 to April 30)
Half Year $50.00 (Available February 1 to August 31, new members only)

Type the letters shown in the image below:
	Phonetic spelling (mp3)

Method of payment: Cash or Cheque at the next meeting or print the registration form and mail with payment to: Guelph Women in Networking, 3-304 Stone Rd., W., Guelph, ON N1G 4W4 .

Questions? Please contact us.