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Membership Application

Thank you for your interest in Membership with the Women of the Roundtable (WR). Part one and Part two will serve as reference, and is yours to keep. The Application and Questionnaire forms must all be filled out in their entirety, and mailed to:

The Women of the Roundtable
Corporate Headquarters
Attn: Membership
2699 Stirling Road
Building B, Suite 200
Ft. Lauderdale, FL 33312

Please make checks payable to: The Women of the Roundtable

Eligibility Requirements

Before you complete this application, be sure to meet the following requirements:

Possess high standards of personal integrity and accountability

All applicants must:

Fill out the WR Application and Questionnaire in its entirety.
Submit Application and Questionnaire to Membership Director as indicated above.
Include a check for $325.00 ($75 one–time application fee; $250 annual membership) to The Women of the Roundtable for membership dues.
Undergo an interview process.

Membership Criteria

Attendance at dinner events. Once you are approved, we take your membership and commitment seriously. The Membership Committee reserves the right to terminate the membership after more than three (3) unexcused absences. WR is committed to excellence and strive to provide WR members with personal and business results. You have invested in WR and we are determined to provide with you results, attendance of WR members is a requirement.
Desire to support and mentor other women.
Belong to other network groups.
Currently active in business in South Florida area.
Tolerance for a diversity of opinions and communication styles.

Refund Policy and Notifiction

Applicants will be notified of their acceptance to membership via writing and/or telephone call. Please be advised that if approved, the start date of your membership is the date of your application and check date. Once you become a member, you will pay the membership rate for all dinner and events. In addition, you will receive a packet with information as to how to upload your information online.

Cancellation Policy for Dinner and Quarterly Events:

WR event coordinator provides the Restaurant (venue) with the Paid RSVP list for the dinners and quarterly events Forty’Eight Hours (48) prior to the event. Thereafter, the food is allocated for the event. Therefore, we will not honor cancellations 48 hours after cut off period. We appreciate your cooperation in this matter.

WR reserves the right to amend its policies at the discretion of the Board of Directors.

Complete our membership application below:

Personal and Business Information

Your First Name*

Your Last Name*

Your Email*

Verify Your Email*

Home Address*

Suite/Apt

City*

State*

Zip*

Home Telephone*

Cellular Phone

Business Name*

Your Title*

Birthday Day and Month*

Business Address

Business City*

Business State

Business Zip Code*

Preferred Method of Contact*

Personal

Work

Please list two (2) references who we can contact. Do not include any family members.

Ref #1 Name*

Ref #2 Contact Info*

Ref #2 Name*

Ref #2 Contact Info*

Are you a Renewing Member?*

Yes

Questionnaire � Please answer all of the following questions:

1. What is your interest and motivation in joining WR?

2. List three words that describe what you will bring to the WR organization?

3. What are you most passionate about?

4. What would you say are your three greatest achievements?

5. What would you like to see happen with your business in the next three months?

6. List other organizations, clubs and networks in which you are involved.

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