Women's Global Business Alliance - Peer Counsel


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Membership in WGBA - Peer Counsel™ is open to senior-level executive women worldwide. To qualify for membership you must hold an executive position within a corporation or firm. Your application will require recommendations from two peers with similar or higher level business qualifications or who are members of WGBA - Peer Counsel™.

To request a member application, please complete and submit the following form.
(An * - asterisk - and red type notes that the requested information must be completed before information can be sent.)


	* First Name:

	* Last Name:

	* Title:

	* Company/Firm:

	* Address:

	Suite/PO Box:

	* City:

	* State:

	* Zip code:

	* Country:

	* Telephone:

	* Email:

	* Years in current position:

	Would you like to speak with a WGBA executive?		Yes No

	If so, please note a convenient date, time and number where you can be reached

	Questions you have regarding executive membership: