Penn State
Professional Women's Network of New York
Membership
Membership Registration 2009

Now's the time to renew!

Please make check payable to: Penn State Professional Women's Network of NY
Personal Information:
Name:
Home Address:
Apartment Number:
City:
State:  
Zip Code:  (5 digits)
Phone:
Email:
Professional Facts:
Company:
Title:
Industry:
Function:
Work Address:
City:
State:
Zip Code:
Work Phone Number:
Work Email:
Penn State Information:
Did you graduate from Penn State? Yes No
Major at Penn State:
Degree:
Year Graduated:
Comments:

Submit your membership fee via Check (made payable to Penn State Professional Women’s Network of NY) or pay through PayPal via the links below.

Annual Membership - $60


Junior Membership - $25 (Graduated within five years)

Please send checks to: Aditi Patel, 27 E. 13th St., Apt 6K, New York, NY 10003

Questions?

Email psunyprofwomen@gmail.com

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