Workforce Network Application

Membership Options

Yes, I want to begin saving money on my registration fees. Please sign me up for:

Workforce Network (WFN) Individual Professional - $65

Please select your Yes, I want to begin saving money on my registration fees. Please sign me up for:.

Group Membership:

3-5 Professionals ($180 flat rate)

6-10 Professionals ($275 flat rate)

11-15 Professionals ($400 flat rate)

16-20 Professionals ($525 flat rate)

Please select your Group Membership:.

Contact Information

First Name

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Last Name

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Title

Organization/Company

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Address

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City

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State

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Zip

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Phone

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Fax

TTY

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Please make checks payable to Maryland Works, Inc and return this form with payment to:
Maryland Works, Inc
10270 Old Columbia Road
Columbia, MD 21046-1854

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