KWBWA Membership Application MEMBER INFORMATION NAME: ADDRESS: CITY: POSTAL CODE: E-MAIL: TELEPHONE: GENERAL INFORMATION COMPANY NAME: ADDRESS: CITY: PROVINCE: COUNTRY: POSTAL: E-MAIL: TELEPHONE: FAX: TYPE OF BUSINESS Briefly outline the type of business of your company. TYPE OF MEMBERSHIP Personal    Corporate SPONSORSHIP Do you already have a sponsor?   Yes   No. NAME OF SPONSOR: List dates of meetings you have attended as a guest. Copyright© 2008, Netscapades Inc.