2008 Membership Application

Please fill out the following form. After submitting this form, you will have two options for paying Membership Dues:

With your credit card through our online payment system, or
By mailing a check, made payable to The Women's Finance Exchange, Inc., to Amanda Blankenship, 2208 Allen Street, Dallas, TX 75204.

Membership dues are $150.00 if paid before February 15, 2008, and $175.00 if paid after this date.

First, Last Name:
Address:
City, ST, Zip:
Phone:
Fax:
Email:
Industry:
Title:
Company:
Company Description:	In 50 words or less, describe your firm as you would like it to appear in the Member Directory. (Leave this box empty if it's the same as last year.)
Introduction:	How were you introduced to WFE, and/or who introduced you?
Committees:	Which committees would you like to serve? Communications Membership Programs Philanthropy Special Projects As Needed
Legal:	I UNDERSTAND THAT IF I MAKE A RESERVATION TO ATTEND A WFE MEETING AND DO NOT CANCEL SUCH RESERVATIONS PRIOR TO 24 HOURS BEFORE SUCH MEETING, MY PAYMENT FOR SUCH MEETING WILL BE NON-REFUNDABLE. NO SHOWS WILL BE BILLED.* I, the undersigned, recognize the above statement and accept that on occasion photographs of me, still or moving, and my name, may be used with respect to activities concerning The Women's Finance Exchange, Inc. and The Women's Finance Exchange, Inc. of Dallas (collectively "WFE") through printed, audio, video or other electronic media, including the Internet. I give my permission and irrevocable consent for use of my picture and name and further release WFE, their directors, officers and members and any other individual associated with WFE, from any liability resulting from the distribution of my image and name. I waive any claims, both current and future, for any compensation for such use and distribution.