Women's Network
Membership Application Form

To join the Bartlesville Women's Network, Fill out this form and mail to

Bartlesville Women's Network
PO Box 417
Bartlesville, OK 74005

I want to join Bartlesville Women's Network.

Name:_________________________________________________________

Address:_______________________________________________________

Home Phone: __________________Work:____________________________

Email:_________________________________________________________

Dues: $20. Donation: _________Total:___________________________

 

Dues are $20 per year payable on September 1st. Please make checks payable to Women's Network.