Apply/Renew

 

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:
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:

Accounting/Bookkeeping Services
Actors/Theatre
Auto Repair
Beauty Supplies/Services
Business Services
Chiropractic
Computer Consulting
Courier/Delivery
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
Mortgage Services
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 $110.00 (Available May 1 to July 15)
Regular $120.00 (Available July 16 to April 30)
Half Year $60.00 (Available February 1 to August 31, new members only)

Type the letters shown in the image below:
 


 
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. 		 

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