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WEPC Membership Information Update Form


Please be sure to let us know when any of your contact or professional information has changed. Please complete your name and only the information that has changed.



Your name:
Firm name/Company:
Zip Code:
Work telephone number (including area code):
Home telephone number (including area code):
Fax (including area code):
E-mail address:
Membership category (select A, B or C):

A. Member - check as many boxes below as necessary to describe your practice:

  B. Associate Member (a professional who is not in one of the above categories)
  C. Associate Student Member (a student pursuing a degree/program in one of the above A categories)
    If applying as Associate Student Member, please indicate the school you are currently attending, the degree or program you are pursuing, and the estimated year of graduation
Certification - Specify all certifications:
Five-word description of your business:

(e.g., certified financial planner, estate planning attorney)

Do you want to participate in the WEPC Speaker's Bureau?

Company web site if you want link from WEPC website: