ADD Corporate Partner

The fields marked with asterisk (*) are required.
Part One (Corporate Partner Data):
   
Corporate Primary Member ID#  
     
Corporate Partner ID #  
     
Company/Organization Name*    
   
     
Address 1* Address 2 City*
     
State* Zip* Website Address
     
Are you a Non-Profit (501-c-3) organization?* Business Category*
Yes No
     
Administrative Contact  
Name* Address 1* Address 2
     
City* State* Zip*
     
Phone (Area Code + Number + Extension)* Fax (AreaCode + Number) E-Mail Address*
     
Marketing Contact
Same as above
Name Address 1 Address 2
     
City State Zip
     
Phone (Area Code + Number + Extension) Fax (AreaCode + Number) E-Mail Address
     
Human Resource Contact
Same as above
Name Address 1 Address 2
     
City State Zip
     
Phone (Area Code + Number + Extension) Fax (AreaCode + Number) E-Mail Address
     
Do you wish to do Table Top Displays at WNY meetings?*
Yes No
     
Are you interested in learning about sponsorship opportunities?* 
Yes No
     
Were you referred by a WNY Member?* 
Yes No
 
Status* Date Applied* Date Approved*
     
Date of Next Renewal Date Resigned  
 
     
How did you learn about WNY?*
     
     
     
     

© 2008 Women's Network of York

| Home | About WNY | Membership | Events | Marketplace | Gallery |
| Contact WYN | Member Log-in | Sitemap |

 Site design and hosting by The Gilman Group