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SIGNATURE EVENT: "Taking Care of Ourselves"
Name*
Title
First Name
Last Name
Suffix
Address*
Address Line 1
Address Line 2
City
State
Zip
Email*
WID Member* 
x $35.00
To register as a member, your WID membership must be active and up to date. If your prefer to pay at the door, please check the box at bottom of form. (Please register NUMBER of member attendees in box above)
Guest 
x $45.00
If you prefer to pay at the door, please check box at bottom of form. (Please register NUMBER of guest attendees in box above)
Please list all names attending the event*
Is this your first Women in Development Event?

Yes
No

I would like to be contacted about membership

Yes
No

 I prefer to pay in full by check or cash at event.