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Non-Profit Membership Application!


Membership Application
Cost for 1 year Full Membership is $65.00
2 year Full Membership is $115.00
Lifetime Membership $395.00
Additional individuals from the same local organization $40 per year.
There is a one-time application fee of $25 for all new members
Membership is non-refundable and non-transferable



Step 1 ~ Complete Application
Step 2 ~ Payment


First Name:
Last Name:
Your Title:
Company:
As it will appear on your PY! name badge.
Address:
City:
State
Zip Code:
Phone:
Fax:
E-Mail:
Website 1:
Website 2:
Website 3:
Chapter:
 
Name Badge Information
Full Name:
Business Name:
(or other second line information)
 
Information for First Time Attendees Only
Special Promotion Code:
First Meeting Location:


Category: Choose ONE or TWO Classifications that best describe your business:
  Business Services Insurance
  Coaching/Training Legal
  Computer/Web Design Marketing
  Finance/Accounting Non-Profit
  Food/Gifts (Services & Products) Personal Care
  Graphics/Design/Printing Real Estate
  Health/Wellness Retail (Store Front/Internet)
  Home Services Other
         

Add Keywords and Keyword Phrases:
What is a Keyword or Keywork Phrase? - Click Here
Keyword or Keyword Phrase #1

Keyword or Keyword Phrase #2

Keyword or Keyword Phrase #3


Personal Profile:
For assistance writing your profile, click here.


Company Profile / Services Description / Product Description:


How did you hear about Powerful You!

Additonal Information:Combined Maximum Words for Personal Profile and Company Profile is 800 words. (single spaced).

-You may email up to three files / photos to be included on your Member Profile Webpage to profile@powerfulyou.com. These pictures are in addition to the information listed above. These files may be your photo, your logo, a product photo, a professional affiliation logo etc. File format must be PDF, JPG or GIF. Other formats may not be acceptable.


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