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MEMBERSHIP FORM
Please fill out the following information to become a Member of BWEN with a one-time payment of $25.00 for a Lifetime Membership.
Name
*
Address
*
Phone Number
*
Email Address
*
We are seeking enthusiastic volunteers who can contribute their time and expertise. Please provide your areas of interest by checking appropriate boxes. You can choose multiple areas:
Areas Of Interest
*
Community Service
Workshops/Seminars
Social Events
Cultural Events
Fundraising
Please mail the form with the check payable to
BWEN
to the address
71 Benmore Drive, Hayward, CA 94542
Verification
Please enter any two digits
*
Example: 12
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