Membership Profile Info Form

Your Member Profile

One of the many perks of your CVWBN membership is a member profile featured on our member directory. Please complete the form below to provide us with your information, allowing us to get your profile up on our website as fast as possible.

Name

First Name

Last Name

Your Business Name

Email

Phone

(###)

###

####

Your Business Website

Your Social Media Links

Facebook, Instagram, LinkedIn

Your Story (300 Words Max)

Are you a part of a Business CVWBN membership?

Yes

No

If you answered yes to the last question, please let us know the business you're with.

PLEASE EMAIL YOUR HEADSHOT TO COMOXVALLEYWBN@GMAIL.COM WITH YOUR NAME AND WEBSITE PROFILE PHOTO AS THE SUBJECT LINE