Registration Form: Organization
Organization
Name:
Mission:   
We are a National Organization
Check the box that most
accurately describes your
organization:
We are a Regional Organization
We are a County-Wide Organization
We are a City-Wide Organization
We are a Ward-Wide Organization
We are a Neighborhood Organization
We are a Government Agency
Organization
Website:
(if any)
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Primary Contact:
Name: (eg.
Angela Smith)
Position within
Organization
:
Email Address:
Phone Number:
(Please include
area code and an
extension, if  nec.
eg. 000-000-0000
x.1234)
I would like to join the
following Working
Group(s):
Media/Communications
Website Development
Membership Development
Education
Shared Prosperity
Regional Collaboration
Health Equity
I understand that my request to join WREN is approved by the top leadership of my
organization.

To review WREN's Operating Policies and Procedures,
click here.