1. WILSONVILLE INDEPENDENT NETWORKING GROUP
WING
Prospective Member Application
Member Sponsor: Date of application _______________
Name: ____ Date of Birth: (mo/day): _________________
Business Category: _________________________________________________________
Company Name: ___________________________________________________________
Title: _______ ____________________________________________________________
Company Address: _________________________________________________________
Business Phone: __________________________ Fax:____________________________
Cell: __________________________
E-mail: __________________________________
Website:___________________________________________
Description of Business (approximately 25 words or less):
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
_____
Why do you want to be a part of WING? :
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
_____
Years/Time Business has been operational:______
2. How long have you worked for this company:
How long have you worked in this profession:___________
Business References (please provide 2):
Name of Reference:
Name of Business:
Phone # Address:
Name of Reference:
Name of Business:
Phone # Address:
I have received a copy of the member bylaws and handbook and agree to follow them. I accept the
decisions of the Board of Officers.
Prospective Member Signature: ______________________________________
ANNUAL MEMBERSHIP FEE: $TBA.00 ROOM/MEETING DUES $TBA.00
Submit with application the total of both Fees with a Check written to WING.
Check # Amt $ Intl
You may attend two (2) regularly scheduled meeting as a guest prior to submitting your application. After your
application is submitted, it will be presented to the membership for approval. You will be contacted by the Vice President
regarding your approval or denial of application after the member review and vote. (Only one business category is
permitted in the Referral Network Group and no conflicts of interest with other members). If your business category is
already represented – you may ask to have your application placed on the waiting list for membership. Once the
application is received, the vice president will be in contact to perform a membership application interview.
(To be completed by vice president)
Date accepted into membership:
Vice President signature
Rejected ___________ Date: Reason:
