Member of Georgia BPW/USA

The tools you need to succeed. Join BPW/USA Today. Personal Information: Name: Company name: Work Address: City, State, Zip (please include +4): Home Address: City, State, Zip: Please Indicate your preferred mailing address: Home Work Home Phone:    Work Phone: Fax:         E-mail: Please join us today as a BPW/USA Member! To become a member, return this form, along with your annual dues, to: 1) Mail your payment to: BPW of Atlanta, Inc. Professional Information: Type of Employer: Government      Educational Professional Services   Health Facility/Med. Ctr. Finance/Insurance    Retail Service Retail Trade      Construction/Real Estate Assoc./Non-Profit      Other Communications        Self Employed Manufacturing Workplace Profile; Number of Employees: 1-10 11-50 51-100 101-500 over 500 If a BPW/USA Member assisted you in learning more about our organization, please list her/his name here so we may thank her/him: Name/Member ID (if known)