COMMITTEE PREFERENCE FORM Directions: Please provide your name and contact information and then select the Committee, Council and/or Task Force that you would like to join. Company/Organization Website Name #1 First Last Title: First Email: Telephone: Events Public Policy Membership Diversity Council Insurance Design Build WBC Ambassador Program Name #2 First Last Email: Telephone: Events Public Policy Membership Diversity Council Insurance Design Build WBC Ambassador Program Name #3 First Last Email: Telephone: Events Public Policy Membership Diversity Council Insurance Design Build WBC Ambassador Program Name #4 First Last Email: Telephone: Events Public Policy Membership Diversity Council Insurance Design Build WBC Ambassador Program Name #5 First Last Email: Telephone: Events Public Policy Membership Diversity Council Insurance Design Build WBC Ambassador Program Questions Email: info@wbcnyc.org Telephone: (212) 317-2400 Address: 1325 Avenue of the Americas, 28th Floor, New York, NY 10009
