Clone of 2025 KWN Regular Business Member

2026 KWN Regular Business Member

To register as a Kenosha Women's Network business member, please complete all questions.
Name of Business
Business Type
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Website
Any one or all designated KWN members are welcome to attend luncheon meetings.
Designated Member #1
Name

First NameLast Name
Title
E-mail
example@example.com
KWN newsletter, notices of upcoming events, and other important information will be communicated by email.
Phone Number
Format: (000) 000-0000.
Phone number is (please choose one):
Designated Member #2
Name

First NameLast Name
Title
Email
example@example.com
KWN newsletter, notices of upcoming events, and other important information will be communicated by email.
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Phone number is (please choose one):
Designated Member #3
Name

First NameLast Name
Title
Email
example@example.com
KWN newsletter, notices of upcoming events, and other important information will be communicated by email.
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Phone number is (please choose one):
Designated Member #4
Name

First NameLast Name
Title
Email
example@example.com
KWN newsletter, notices of upcoming events, and other important information will be communicated by email.
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Phone number is (please choose one):
Designated Member #5
Name

First NameLast Name
Title
Email
example@example.com
KWN newsletter, notices of upcoming events, and other important information will be communicated by email.
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Phone number is (please choose one):
How did you find out about KWN?
Get Involved! Check all areas of interest!

Other
Signature
Signature Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
By completing and signing this form, you are agreeing to let KWN use your name/and or picture on marketing and promotional items to include, but not limited to, flyers, posters, social media pages, ads, emails, etc.

KWN Memberships are for the calendar year. Membership is prorated after March. Please check the month when selecting your payment amount.

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2026 KWN Regular Business Member

Any one or all designated KWN members are welcome to attend luncheon meetings.

KWN Memberships are for the calendar year. Membership is prorated after March. Please check the month when selecting your payment amount.*

Payment Methods

KWN Memberships are for the calendar year. Membership is prorated after March. Please check the month when selecting your payment amount.