Forms/Documents

The WREN Community is a peer-to-peer network of members,
instructors, mentors, and supporters of the organization. Early on we
recognized that the real strength of our work was in connecting people into an
effective network. Business, non-business, rich, poor, native, newcomer,
old, young – this broad spectrum electrifies and benefits our growing membership.
__ New __Renewal __ Gift Date ________________
NAME ____________________________________________________________________________
HOME ADDRESS ____________________________________________________________________
__________________________________________________________________________________
HOME PH ( _____ ) _______________________________ FAX ( _____ ) ______________________
EMAIL _____________________________________________________________
__ FEMALE __MALE DATE OF BIRTH ___ / ___ / ______
Do you have an interest in one or more of the following programs?
__ Retail Store __ Gallery __Farmers Market __ BETA Program __ Wings __ Volunteering
How did you hear about WREN?
__ Friend or Colleague  Name: ________________________________________
__ Newspaper __ Brochure __ WRENzine
About your business…
YEAR BUSINESS STARTED _______________
BUSINESS NAME ___________________________________________________________________
BUSINESS ADDRESS _________________________________________________________________
__________________________________________________________________________________
BUS. PHONE ( _____ ) _________________________ FAX ( _____ ) ___________________________
EMAIL _____________________________________ WEBSITE _______________________________
TYPE OF BUSINESS __________________________________________________________________
PRIMARY PRODUCT / SERVICE ________________________________________________________
We encourage you to list your business in our on-line business directory. Our member
network includes hundreds of people – a great marketing opportunity for you. Why not consider
offering fellow WREN members discounts and offers for your products or services? Describe below
any discount you would extend (i.e. 10% off, free consultation, etc.) We distribute this information
in our New & Renewing Member Packet:
__________________________________________________________________________________
__________________________________________________________________________________
MEMBERSHIP LEVEL
__ $20 – Student __ $35 – Individual __ $50 – Business / Not-For-Profit __ $100 – Super WREN
__ $250 – Supporting WREN __ $500 – Sustaining WREN __ $1000 – Lifetime WREN
__I wish to make an additional contribution to support WREN’s work
in the amount of $ _______.
Total: ____________
METHOD OF PAYMENT
__ I am enclosing a check made payable to WREN
__ Please charge my credit card __ Visa __ Mastercard Exp. Date _____ /__________
Credit Card # _________________________________________________________
Signature _______________________________________________________________
Return form with payment to WREN, PO Box 331, Bethlehem, NH 03574