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WCA Membership Application
Becoming a member is a two step process:

1)  After you submit this form, a WCA representative will review this application and assess your annual dues.

2)  You will be contacted and given instructions on how you can pay by credit card or by check.

You will then be a WCA Member!  Welcome!

Please fill out the following information describing your organization or business:
Business   College/University   Not-For-Profit   
Government Hospital
 
Name of Company/Organization:
Address:
City:
State:
Zip:
Phone:
Fax:
Email Address:
You may publish my email address in the Membership Profile.
0nly use my email address for internal WCA communication.
Web Site Address:
Contact Person:
Number of Employees:
Nature of Organization (Industry Type):
Name of Principal Representative
Title of Principal Representative
Additional Representatives: Organizations with more than 40 employees may add two representatives for mailing.
Organizations with more than 100 employees may add three representatives for mailing.
Description of organization to be printed in Association Membership Profile
(50 words or less:)
Membership Fees:
  • Annual Dues will be assessed for your company by the WCA, when you submit this form.
  • A $50.00 one-time New Member processing fee will be charged which includes optional E-mail and Web Site listing in the WCA Online Directory.
All Members of the WCA are listed in our online directory:

Please include my e-mail address and my web site address with my listing in The WCA Online Membership Directory.

Please include only my web site address with my listing in the WCA Online Membership Directory.
How did you hear about the WCA?

WCA Web Site  
Newspaper
     Which one:
Referral
     From Whom:
Event
Other

A WCA Representative will be assessing dues and contacting your organization regarding this application.  Whom would you like to the WCA Representative to contact?

Name

Phone Number

The WCA needs the information below in case there are questions about the information provided in this form.

Name of individual filling out this form:

Phone number of individual filling out this form:

 
Westchester County Association - 914-948-6444
For marketing opportunities on our website, call 914-948-6444

The information in this site is believed accurate. However, no guarantee or warranty is made regarding this information. The Westchester County Association, Inc., its members and agents assume no liability for any action arising from use of or reliance upon any information found in or through this web site. Interested parties are advised to independently verify any information herein through personal investigation or with appropriate professionals.

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