First Name (required) Last Name (required) Your Email (required) Date Of Birth (required) Phone (required) Country Address Line 1 (required) Address Line 2 City (required) Province (required) Postal Code (required) Who introduced you to WAWT? First Name Last Name Membership Type (required) —Please choose an option—Community MembershipExecutive Membership Membership Dues (required) —Please choose an option—One PaymentTwo PaymentsFour PaymentsMonthly Do you identify as a Canadian Woman of African Decent? (required) —Please choose an option—Yes, African heritageYes, Caribbean heritageYes, Mixed African and Caribbean heritageYes, Mixed AfricanYes, Mixed CaribbeanNo Select the category that best describes your age (required) Under 3535-4545-60Over 60 Occupation (required) Name of Organization (required) Do you own a business (required) —Please choose an option—YesNoPlanning Stages If you own a a business, what is your website and social media account? Why do you want to join When African Women Talk (required) What type of events are you interested in attending? (required) Networking MixersSpeaker SeriesWorkshopsBook ClubSocial MixersTravelOther What are you looking to gain by joining When African Women Talk? (required) How did you hear about When African Women Talk? (required) Have you attended any events hosted by When African Women Talk?(required) What's your social media handle?
