Membership Form

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We are in the process of upgrading and enhancing our membership system. We wont be able to accept new members for a few days.

Meanwhile you can signup here for our weekly ezine, 'The Dot Com Woman', and other ezines and stay updated on a lot of helpful stuff!

Please bookmark this page and return to signup next week. The inconvenience is regretted. - Dot Com Women Team

MEMBERSHIP FORM

Please fill up this form to sign up as a member of 'Dot Com Women'. The fields marked in 'BOLD' are COMPULSORY.

The only terms of membership are that applicants must be WOMEN and above 13 years of age. Those with websites of adult and offensive nature will be denied membership.

User Name
Password
Name
E-Mail
Address
City
State/Province
Zip
Phone Number
Country
Occupation
Birth date	/ /
Anniversary (If applicable)	/
Average Household Income	(this will not be shared with others and is for our demographic records)
Marital Status
Education Completed	(will not be shared with others and is for our demographic records)
Your website Name
Your website url (if applicable)
Would you like to contribute something to 'Dot Com Women'? Articles, Templates, Freebies, Graphics or any other services?
	Yes No
Would You like to subscribe to our Weekly Ezine 'The Dot Com Woman'? (I suggest you do, as it will keep you updated on what's happening at DCW.)
	Yes No
How did you hear about us?

By clicking on the 'submit' button, you agree to receive occasional updates about Dot Com Women, specials, contests etc.

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