LWB Chapter Application 2018 (PDF)

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First Name MI Last Name

Personal Social Media (Instagram)




How did you hear about us?











YOUR BRAND





For all non-US applicants, please include Country Code and City Code
for all telephone and fax numbers. Thank you!

Your Company’s
Name





Your Title





Company Mailing
Address



Office Phone

( ) ext. _



Suite #



Office Fax

( ) _



City



Mobile

( ) _



State/Province



Other

_



Zip/Postal Code



E-mail

_






Country
Role in Brand




( ) Founder ( ) Co-Founder

Web Address www. _

( ) Other



















Company Description (10 words or less) _
Your Brand’s Social Media (Instagram): (Twitter):





(Facebook):















Where do you would you like for your LWB Mail to be sent? ( ) Home
( ) E-Mail
Personal Information



Home Address _

Home Phone

( ) _



City _

State/Province

_



Zip/Postal Code _

Country



New Member Dues: LWBATL’s Fiscal Year is Jan 1-Dec 31. Your first month’s dues will be pro-rated after
st
which dues will be due on the 1 of each month. There is a one-time initiation fee (to cover resources for
training and any required travel arrangements).
You will not be charged until all paperwork is approved

Chapter Initiation Fee (onetime fee)

Chapter Dues (billed
monthly)

$400.00
$50.00


Initiation Payment is NOT due unless selected. It does not cost to apply.
The monthly fee is a large part of what is used to cover expenses related to chapter operations.














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Your Information
(Please indicate the best way to contact you.)


Email
Cell Phone




City Details
What city are you applying for?







City, State



Chapter Details

Prior to applying for a chapter of LWB, how many women empowerment focused events have you held?

On average how many people attend your events?


Are majority of your events charged for entry?


What is the average cost of the events held?











Additional Information:
(Please use additional sheet of paper if needed)
●

Please provide evidence of previous events you’ve done similar to the concept of Ladies Who Brunch: Atlanta (this can be previous events (including
guest count), photos (links to view photography is OK), etc. that’s available)

●

What venues in your city have held your events?















Understand we utilize social media heavily to function as a community tribe.







Agreement
Thank you for your interest in establishing a chapter! The dedication of the chapter champion (you) often determines the success of a chapter launch. Ladies
Who Brunch: Atlanta will aid you with establishing your chapter including but not limited to finding potential members, promotion of events, assisting with
ideas for events, resource suggestions, approval of digital graphics prior to release and the overall training of your chapter team. As the chapter champion,
you will be responsible, along with Ladies Who Brunch Atlanta LLC, that the growth and development of this chapter is maintained for the duration of 12
months; after which, an operational system should be set in place. Your signature on this document in no way financially binds you to the success or failure
of this chapter. By signing this application, you are verifying that all of the information you are providing is accurate to the best of your knowledge. We
appreciate your determination and will speak with you soon.





SIGN HERE:
For internal use
#1 LWB Approval





Received by






Date
#2 LWB
Approval