FirstName LastName
Street Address
 City
 Zip
Home Phone (XXX-XXX-XXXX)
 Office Phone (XXX-XXX-XXXX)
 Ext.
Email Address
Elected Office, if any
 Jurisdiction
 Term Ends
Employer
 Position/Occupation
Regular Member $35
 Emerita Member $25
 Associate Member $25
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Note:  Dues now being collected cover the 2010-2011 year
Membership for 2010-11
Women Officials Network
PO Box 404
Birmingham MI
48012-0404
248.885.1034
Women Officials Network
PO Box 404
Birmingham MI
48012-0404
248.335.7637
Membership Benefits
Get reduced price for
networking breakfasts
and workshops!
Receive timely notifi-
cation of additions to
website, such as when
reservations are open for
networking breakfasts
and other events!
To join WON, fill out the form below and submit it electronically;
then mail your check to us at the address at the lower left
OR
Fill out the form, submit it to us electronically, and then use
PayPal to submit your credit card payment (or checking
account transfer) by clicking on the appropriate button below:
Regular Member  $35
(Elected officials)
Emerita Member  $25
(Former elected officials)
Associate
Member  $25
OR
Go to our mail-in form, print it out, complete it and mail it
________________along with your check to us at the address at the lower left________________
2010-2011 WON Membership Form
Regular Member
Current elected official
Emerita Member
Former elected official
Associate Member
Appointed officials,
precinct delegates,  
other members of the
public--can serve on
board
Women Officials' Network