Copy this sheet and submit it to info@mnwomen.org and advise your method of payment of the $100 fee.

FRIEND OF THE CONSORTIUM (FOR-PROFIT ORGANIZATION) APPLICATION OR RENEWAL

In joining the Minnesota Women’s Consortium, the undersigned recognizes that the common purpose of the Minnesota Women’s
Consortium is to achieve full equality for women. The Consortium is an association of organizations and individuals committed
to feminist goals not in conflict with those set out in the Houston Plan of Action, U.N. Decade of Women 1977. The undersigned
hereby agrees they will not actively work in opposition to any of these planks. It is understood that the Consortium as an entity
does not endorse specific legislation or individual candidates for public office, but that member organizations may undertake
these activities according to their own priorities.

Once a Friend of the Consortium membership application has been received, it must be reviewed by the Board of Directors and
then ratified by the voting delegates of the Minnesota Women’s Consortium. After ratification, an organization will become an official
friend of the Consortium upon payment of dues. Friends of the Consortium are nonvoting members and may not solicit our
nonprofits or their members to sell or propagandize on behalf of their product or service at meetings. However, these organizations
may sell or solicit at Consortium events if or when invited by the Consortium. As part of your membership, the Minnesota Women's
Consortium prints a flyer at no cost to you called Friends of the Consortium twice a year (April and November). You can submit a
typical business-card size ad for placement or we can do one for you.

Friend of the Consortium member dues are: Base rate (annual revenue in past year of $0-$500,000) -- $120 or Revenue over $500,000 -- $250.

Organization

Official Address

Telephone

Website and email address

Our organization designates the two named individuals as our representatives to the Minnesota Women’s Consortium::
1)

2)

The CAPITOL BULLETIN should be mailed to the 2 following designees. Provide addresses please:

1)

2)

Dues assessment is $_100___

The Consortium provides diversity in all its activities. Providing the information below is optional,
and we hope you will do so to help us assess our progress.

My organization can be counted as representing the following groups:
____ Women of color ____ Immigrant women
____ Women under age 35 ____ Business women
____ Women of Greater Minnesota (excluding St. Paul, Minneapolis, and their suburbs)
____ Women in higher education (faculty, staff, and/or students)
____ Other special group often under-represented: ____________________________

INFORMATION FOR THE NEW CONSORTIUM DIRECTORY                                    DATE

All information provided by your organization will be available to the members of the Consortium.  Please complete the material relevant to your organization that you are willing to share.

COMPANY  NAME

ADDRESS

CITY, STATE, ZIP

PHONE(S)

Underline one:            Chair                        Director                        President            Other

                        Name

                        Address

                        Phone                  Email

Contacts (two preferably):

Name 

Email

Name

Email                                            
      

SERVICES PROVIDED FOR MEMBERS/CLIENTS (if applicable): 
1.
2.
3.
4.
5.

MISSION: