Membership Application

Name:

Email:

Company:

Address 1:

Address 2:

City:

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FaceBook Name:

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Member Birthday:

Please give a brief description of your work:

Professional & civic affiliations and accomplishments:

Personal interests you would like to share such as family, hobbies, etc.:

What area of expertise are you interested for helping WEC fulfill its mission? (choose one, any additional interest add in the comment section):

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