2013-2014 NLBWA-SD Membership Application

  Name  *
  Title  *
  Company  *
  Mailing Address  *
  City  *
  State *
  Zip *
  Phone *
  Mobile
  Fax
  Email  *
  Website *
 (Example www.abc.com)
  Can we contact you on? Facebook Linked IN
  How did you hear about us? Friend Internet  Email
  Announcement
  Board Member
  Who referred you?
  Business Background
  Year Established?
  Ownership
  No. of Employee
  Annual Revenues
  Business Scope Local  Statewide  National  International 
  Business Certifications WBENC  MBE  Other 
  Eductional Background
  Business Types *
Membership Levels
CORPORATE MEMBERSHIP ($1,200)

Subscription period: 1 year (non--voting)
Three [3] annual memberships, same direct company employees
Company mention/listed on NLBWA--SD website
Annual recognition/listing as a corporate member in Awards Program
Company listing in electronic mailing

Business Membership Plus ($300)

Subscription period: 1 year (voting)
1 annual business owner membership ($125 value)
1 entrance ticket to Annual Awards Gala ($100 value)
Member discount to NLBWA--SD events for up to
3 employees per event ($90 value)
Exhibitor table at one event (a $150 value)
Listing on the online directory included ($50 value)

Business Professionals ($150)

Subscription period: 1 year (non-voting)
1 annual membership
Discount to special workshops and seminars

Business Entrepreneur Membership (Individual) ($125)

Subscription period: 1 year (voting)
1 annual business owner/entrepreneur membership
Discount to special workshops and seminars
Listing on our Online Directory included

Non-Profit (budget under 50k) ($100)

Subscription period: 1 year (non-voting)
1 annual membership
Discount to special workshops and seminars

Young Professionals (non-students 18-24) ($75)

Subscription period: 1 year (non-voting)
1 annual membership
Discount to special workshops and seminars

Students ($35)

(Copy of valid ID required, must be full time student)
Subscription period: 1 year (non-voting)
Membership Scholarships Available
1 annual membership
Discount to special workshops and seminars

Las Reinas(retired members over 65+) ($50)

Subscription period: 1 year (non--voting)
Membership Scholarships Available1 annual membership
Discount to special workshops and seminars
Complimentary admission to special Las
Reinas designated events and workshops