Membership Application Please complete each field below. Place a "N/A" in the field if it does not apply. Name:Email:Company:Address 1:Address 2:City:State: ALAKAZARCACOCTDEFLGAHIIDILINIAKSKYLAMEMDMAMIMNMSMOMTNENVNHNJNMNYNCNDOHOKORPARISCSDTNTXUTVTVAWAWVWIWYABBCMBNBNLNTNSNUONPEQCSKYTACTNSWQLDSAASVICGUVIDCGBPRAAAEAPZip: FaceBook Name: Twitter Handle: LinkedIn Name: 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):Select...FundraisingSocial MediaMarketingMentorshipMembership OutreachEvent PlanningStrategic GrowthLegal GuidanceExpanding WEC's Circle of InfluenceSelecting Scholarship RecipientsCommunity OutreachWebsite Work Title: Spouse / Partner's Name: Cell Phone: Alternate Phone: Submit