If you would like to join WOMEN OF JEWELS, please complete the questionnaire below. We will be in contact with you soon. Thanks for your interest!

Name *

Name

First Name

Last Name

Address *

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Date of Birth

Email Address *

Emergency Contact

Home *

Home

(###)

###

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Are you currently serving as a board member of any organization? *

Yes

No

Do you currently hold any certifications or special licenses? *

Yes

No

Do you have any special needs or concerns at this time? If so, please list.

For sponsorship opportunities please contact us at alayaministries@alyaministries.org