Membership Benefits

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If you own more than one business, please complete this form as the owner of your most significant firm.

First Name *
Middle Initial
Last Name *
Company Name
Mailing Address
Mailing Address 2
City
State
Zip + 4
Phone
Fax
Email *

Please write a short description of your business. Do NOT exceed 120 characters including punctuation and space.


Percentage of Business Owned
Years In Business
Do you do business internationally?
Yes No
Are you a partner? Yes No
Number of Employees
Ethnicity (optional)
This fiscal year estimated gross revenue:

What do you hope to gain from your membership?

How did you hear about NAWBO?

Government agencies or corporations with which you are a
certified woman business enterprise:

Membership Fees
National Annual Dues $150
Chapter Dues $200
Total $350
   


Method of Payment

Online via credit card :

A Check is In the Mail:

Please Bill Me:

Online via credit card

A Check is In the Mail

Please Bill Me"

Mail Check to:
National Association of Women Business Owners, Chicago Area Chapter
216 W. Jackson Blvd, Suite 625
Chicago, IL 60606

Pursuant to the Revenue Act of 1987, we are required to advise you that your association dues are not deductible as charitable contributions for Federal Income Tax purposes. Your dues payments, however, remain deductible as business expenses to the same extent as permitted under law.

I hereby certify that the information contained in this application is true and complete to the best of my knowledge and belief.
Contact Information

NAWBO Chicago Area Chapter
216 W. Jackson Blvd., Suite 625
Chicago, IL 60606
Voice 312 609 1300
Fax 312 750 1203
E-mail info@nawbochicago.org