Update Your WEPC Membership Information

Once you have completed this form, simply hit the Submit button. Thank you!

1. Your name

2. Firm name/company

3. Address


4. City

5. State

6. Zip code

7. Office telephone number (be sure to include the area code)

8. Home telephone number (including area code) -
in case we need to contact you and your e-mail address has changed

9. Fax number (be sure to include the area code)

10. E-mail address (note: this a required field)

11. Membership category (select A or B, plus check box C):
A. Member - check one of the four boxes below
Accredited financial services professional (CLU, CHFC, CFP, other). Please specify your certification:
Attorney
CPA
Trust officer
B. Associate Member
C. Note: this is a required field In checking this box and submitting this form, you certify that no professional accreditation agency or organization with jurisdiction over the conduct of members of the discipline for which you registered with the WEPC has revoked such accreditation.
12. How many years have you worked in your profession?

13. Indicate which committee(s) you would like to join:
Membership Programs Special Events
PR/Community Outreach Hospitality Newsletter
14. Do you want to participate in the WEPC Speaker's Bureau?
Yes No
If yes, please provide a five-word description of the nature of your
practice/business (e.g., certified financial planner, estate planning attorney)

15. Do you want to have a link on the WEPC site to your own site
or e-mail address? The cost is an additional $30/year.
Yes No
If yes, please provide your web site or e-mail address

Please check the information above to be sure that it is correct. If you need to make any changes, place your cursor at the beginning of the appropriate box and type in the correct information. If you wish to start over from the beginning, click the reset button.

Once you have completed this form, simply hit the Submit button.

Thank you!

 

[Membership Info] [Meetings [Committees & Board of Directors]
[About Our Members] [Speaker's Bureau] [Our History] [Links]
[For Members Only] [Home]

Women's Estate Planning Council
*Phone 303-864-7226
E-mail nroth@csbt.com