Corporate Partner Application Please complete all information below to be considered as a corporate partner * Required Fields Your Professional Photo: Your Corporate Logo:Market Region You Are Joining as a Corporate Partner Joining:*San Diego Market RegionOrange County Market RegionLos Angeles Market RegionInland Empire Market RegionNational Market RegionBusiness Information & Corporate Partner Representative Your First and Last Name:* Your Professional Title:* Company Name:* Address:* City:* State:* Zip Code:* Work Phone:* Mobile Phone:* Email Address:* Birth Month*Select valueJanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember Birth Day*Select value01020304050607080910111213141516171819202122232425262728293031 Current Number of Employees in the Company:* Website Address:* Company Representative LinkedIn Profile URL Link: Twitter URL Link: Company Facebook Page URL Link: Instagram URL Link: Type of Business (this will be used in the CWI membership directory):* Describe your company services and products. What does your company do? (This information will be posted on the CWI member directory)*Supporting Our Professional Community Describe how your organization intends to be an advocate and champion in the advancement of women leaders, including how you will support CWI members through your company mission, location, products and/or services. Also, how will your organization be a resource for female leaders in business in helping them advance and/or make their mark more effectively in business?*Finding Value From Our Association Describe how CWI and our professional community can be of greatest support and value to your organization as a corporate partner. What is your organization looking for by being a corporate partner to CWI? (Examples: direct business, introductions to other female leaders, other partnerships of support, new connections, camaraderie among female leaders, fresh new ideas, feedback from female leaders, corporate connections, thought-leadership, visibility, exposure, goodwill, mentorship) Any other ideas in how our association can bring value to your organization?*Evaluating Our Partnership What, specifically will you use to evaluate the success of our Corporate Partnership over the next 12 months? (Examples: number of new inquiries, relationships built, amount of new business, exposure provided and received, promotion of services and/or products, level of interest among members in our organization, etc., etc.) Please list: *Signature & Corporate Partnership AgreementBy submitting this application, I certify that all information is true and complete to the best of my knowledge. We hereby apply for a corporate partnership in CWI and have read and understand the requirements of membership. I have read and understand the cancellation, payment, pricing and refund policy.. I understand that our corporate partnership term is based on mutual agreement between CWI and my organization. Upon submission of our corporate partnership application, I will receive notification of my acceptance as a corporate partner into CWI. I further understand that our corporate partnership may be denied after review and consideration and that our application is not a guarantee of acceptance. Upon corporate partnership selection and acceptance, an invoice or credit card will be required for payment, depending on the level and term of corporate partner benefits and quoted rate.By submitting our organization details, we are applying for a corporate partnership in Connected Women of Influence. Execution of a facsimile copy of my signature shall have the same force and effect as execution of an original, and a facsimile signature shall be deemed an original and valid signature. Signature - Type Name Here:* Date By checking yes, we agree that a corporate partnership is of mutual benefit, and we will be an engaged and committed partner to the success of CWI and the value our organization hopes to receive as a dedicated champion to the advancement of women in business. *YesSubmitReset Attend An Event As Our VIP & GuestJoin Us!
