Membership Renewal Form Step 1 of 4 25% Name* First Last Email* Phone* EmploymentHas your employer, job title, or business contact information changed in the last year?* Yes No Business Name*Job Title*Work Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Work Phone*Would you like to upload a new photo for the member directory?Accepted file types: png, jpg, , Max. file size: 300 MB. CommitteesMembership Committee: Our purpose is to provide a solid foundation for the growth of the Organization through recruitment of new members, support/onboarding of new members, and strategic retention strategies for existing members. The Membership Committee serves as a resource to new members by providing support through conversations and introductions that will cultivate and promote positive ongoing relationships between LAPW members. Programming Committee: Our purpose is to coordinate and organize the regularly scheduled monthly luncheon program topics for the year and coordinate and organize an array of meaningful member programs and events that address the multiple and diversified interests of LAPW members consistent with LAPW's mission of connecting women personally, professionally, and philanthropically. Events Committee: Our purpose is to plan and coordinate the LAPW's signature events that bring to life the mission, vision, and values of LAPW to the public. Scholarship Committee: Our purpose is to accept and review applications for LAPW member and member dependent scholarships and select recipients.Please select the committee(s) you would like to be part of.*(check all that apply) Membership Scholarship Events Programming I do not have the time to be on a committee this year Membership & Payment InformationChoose Your Membership Type:*Prepay for your LAPW Monthly Lunches: Get 12 lunches for the price of 11 = $176 Annual Member Dues - $125 Annual Member Dues + Lunches - $301 Would you like to donate to the LAPW scholarship fund?*Your support makes an impact on local graduating seniors and supports the LAPW Member Scholarship and LAPW Member-Dependent Scholarships. Yes! I want to make a contribution towards the LAPW scholarship fund. No, not this year. Choose an Amount to Add-On for Scholarships:*Choose a donation amount or choose other to specify your amount.$25$50$100Other - please specify.Giving Amount:* Payment Options:* I would like to pay my dues now via Credit Card. I have paid/will pay my dues at the next Monthly Meeting. I will mail a check for my dues before August 15, 2025. My employer will mail a check for my dues before August 15, 2025. I need an invoice to give to my employer. Please have the Treasurer email me about a payment plan for my dues. Credit Card Billing Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Total CAPTCHACommentsThis field is for validation purposes and should be left unchanged.
