New Member Registration Form

    New Member Registration Form

    Member Information

    Member Date of Birth:

    Name of W.I. Branch member is joining:

    Has been a member of another W.I. Branch?

    How would member like to receive Home and Country Newsletter quarterly?

    Would member like to receive email from FWIC?

    Member Date of Registration (typically today's date):

    If you require assistance, please reach out to the W.I.N.S. office at