PenWAG Application Form

First Name*

Last Name*

Student?

Address*

city*

State*

Zip*

Home Phone

Cell Phone

Work Phone

Other Phone

email*

Room Available?

Comments, including recommendations you may have for future Speakers & Teachers, Other Interests & Skills

What can be published on the password protected Members only section of our website?







Please Let Us Know Your Interests (Check all that apply)




























What General Skills do you have that might help the Guild?




















Computer Skills

The Member's Website is behind a Password and is only accessible by PenWAG members.
* No personal information will be listed unless "OK to List Name" is checked.
If you check "City OK", we list your City only (not street address) to help carpoolers find each other.

We occasionally offer our speakers housing at a
member's home. If you have a room that can be
used for such purposes, please check
"Room Available"

Please fill out this application form and click on the Submit button when done.
Our membership chairperson will contact you with further details.





Position I May be interested in

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If you are a current member,

do not use this form.

Instead, click here
(you will need your
username and password)

or, print out the printable form, fill it out and bring to the meeting.

Contact membership @ penwag.org if you have questions