Join Us!

of Southeastern Massachusetts

Join Us!

Membership Form

Read about the benefits of becoming a member of Women's Business Network of Southeastern Mass.

To renew, join or just change your current information, please complete the form below and click "Submit".
Then, follow the instructions in the "Read About" link above to submit your $75.00 dues.

Please complete all fields. Name, Business, Website (or Email if no website) and Business Description will be posted on our website; all other information will be shared only with other members.

Questions may be directed to Janine Higgins at membership@wbnsema.org.

Reason for Submitting Form:	Renew membership for 2009-2010
	Join as New Member
	Current member; updating information only
First Name:
Last Name:
Business Name:
Address Street 1:
Address Street 2:
City:
State:
Zip Code:	(5 digits)
Business Phone:
Home or Cell Phone:
Business Email:
Business Website:
Business Description (200 character limit; see examples from Members page)	Enter description here (200 character limit); for current members, if your description has not changed, enter "same"