Membership Application

LinkedIn
This field is for validation purposes and should be left unchanged.
Name*
First Last
Address*
Street Address City State ZIP Code
Other Directory Information
Spouse / Significant Other
Home Phone
Cell Phone*
Email*
Birthday (you may use most recent year instead of actual year)*
YYYY slash MM slash DD
Date joined CWC
YYYY slash MM slash DD
Untitled
- Check here if any information has changed since the prior directory
- Use business address as primary mailing address and list in the directory INSTEAD of home address
Business Members Only
Employer
Title
Business Address
Business Street Address Business City Business State Business Zip
Business Phone
Business Email
Business website
If you would like to list your business on our website, please select Business Member below which costs $150 in place of Regular dues.
This is a text only listing with links to your business email and website.
Membership Level for June 1, 2025 - May 31, 2026
Membership Levels*
- Regular Membership, $75
- Business Membership, $150
Total Enclosed
Total Enclosed:
$0.00
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Other Directory Information