Member-Owner Application

The one-time ownership amount is $300.00 + $10.00 for online processing fees. Other payment options are available here.

By checking this box,  you acknowledge that you have read the Member-Owner Disclosure, and that you understand the information contained therein.
 
Fields Marked with a * are required
 
*First Name of primary member-owner (i.e. Ashley)
Goes By - Name (i.e. Ash)
Middle Name
*Last Name
Suffix
First Name of secondary member-owner (i.e. Ashley)
Secondary Goes By - Name (i.e. Ash)
Secondary Middle Name
Secondary Last Name
Secondary Suffix
Company Name
*Address (Mailing)
*City (Mailing)
*State (Mailing)
*Zip (Mailing)
Address (Other)
City (Other)
State (Other)
Zip (Other)
*Phone 1
Phone 2
*Email
How did you hear about WCM?
Volunteer/Committee Member/Advisor/Other - Skills

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PO Box 4303, Salt Lake City, Utah 84110 T: (385) 355-5271

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