WiCP Membership Application
A Fully "Web Present" Membership - $45
Name



 
Business Name



 
Street Address



 
City, State, Zip



 
Bus. Phone #


 
Home Phone #


 
Cell Phone #


 
Fax #


 
Email



 
Website



 
Type of
Membership

 
Text for
Website Listing
(limit 15 words &
applies only to
web present
memberships)


 
Please print this page, add your information, attach your check made out to WICP, and mail to:
Dana Parnes
12527 Montero Way
San Diego , Ca 92128
WiCP President
858-243-5358
dana@danaphotographs.com