New Member Sign-Up Sheet
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First & Last Name *
Phone Number *
Email Address *
Mailing Address *
Birthdate (Month & Day only) *
What is your business, career focus and/or ministry focus? *
What do you hope to gain from the membership?  What made you decide to join today? *
How did you hear about the National Women's Empowerment Ministry? *
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Please provide any additional comments, suggestions and/or questions you have and our Membership Director will get back to you as soon as possible.
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