Member Application | Women's Business Group Connects

Member Details

First Name

Last Name

Email Address

Phone Number

The link/URL of your LinkedIn profile

Professional Bio

2000 character limit

Home Address

Address Line 1

Address Line 2

City

Country

State/Province

Zip/Postal Code

Application Questions

Why do you want be a member?

Character limit 2000

What value do you bring to the organization?

Character limit 2000

Work Information

Company Name

Industry

Occupation

Work Phone

Website

Must begin with either http:// or https:// (lowercase)

Work Address

Address 1

Address 2

City

Country

State/Province

Zip/Postal Code

Please take a moment to specify your preferred log in credentials. Note: This will remain deactivated until your application has been approved.

Username

Enter Password

Confirm Password

Membership

Regular Membership

Annual dues are $75. WBG dues run for 12 months.

By selecting this checkbox, you consent to allow our organization to store and process the personal information submitted above.