Application

Become a member today and enjoy the benefits of our powerful group of women.

Yearly Membership Fees:
Trailblazer - Professional: $100.00
Pioneer - 65 years young: $60.00
Student - $50.00

For further questions, please contact Nina Anderson, Vice President, Membership at 303-872-9841 or winewithnina@yahoo.com.

Full Name *
Company Name *
Title
Home Address *
Work Address
Home Phone *
Work Phone *
Mobile Phone
Fax
E-Mail *
Website
Primary Business Category *
Secondary Business Category
Description of my business (90 words or less) *
How did you hear about CBW?

Who Referred You?
Can our Board of Directors contact you to discuss joining a committee or being a part of our leadership?    Yes   No
If currently unemployed, what industry are you looking to work in?
Please submit your resume with your application if you would like to get our complimentary assistance in connecting you with potential job opportunities.
Are you interested in becoming a luncheon sponsor to spotlight your business?    Yes   No
Are you a * New Member    Renewing Member    Transferring Member   
Please indicate your membership level *
Trailblazer (prof) $100    Pioneer (over 65) $60    Student ($50)   

Wednesday, February 8th
11:00 am - 1:00 pm

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