Organizational Membership (Silver)

Price:

$600

First Name:* First Name Required

Last Name:* Last Name Required

Pronoun(s) (she, he, they, ze, etc.): Pronoun(s) (she, he, they, ze, etc.) is not valid

Organization Name:* Organization Name is Required

Organization Address (full street address, including city, state, and ZIP code):* Organization Address (full street address, including city, state, and ZIP code) is Required

Organization Website:* Organization Website is Required

Organization Phone Number: Organization Phone Number is not valid

Employer:* Employer is Required

Job Role/Title:* Job Role/Title is Required

Sector/Field:* Sector/Field is Required

Age:* Age is Required

Gender:* Gender is Required

Race:* Race is Required

Hispanic, Latino or Spanish Origin:* Hispanic, Latino or Spanish Origin is Required

If you selected ''Other'' for any of the fields above, please specify here: If you selected ''Other'' for any of the fields above, please specify here is not valid

How you heard about YNPN:* How you heard about YNPN is Required

Please sign me up for the YNPN Milwaukee Listserv (the listserv allows you to send and receive emails from our network of past and current members)

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Advancement Committee Advisory Committee Communications Committee Engagement Committee Governance Committee

I agree to the Privacy Policy and to receiving emails from YNPN Milwaukee.*

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Password:* Invalid Password

Password Confirmation:* Password Confirmation Doesn't Match

Password Strength Password must be "Medium" or stronger

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