REGISTRATION FORM FOR MEMBERSHIP TO WTC:

Company Name:__________________________________________________

Contact Person:__________________________________________________

E-mail:                                                                                                    

Address:_______________________________________________________

City:______________________________________State:______Zip:_______

Phone:_____________________________________FAX:________________

CEO Contact Name:_______________________________________________

Training Contact Name:                                                                            

Email:                                                                                                            

Number of Employees:_____________________________________________

Federal ID #______________________________NAICS #__________________

Membership levels.

Participating Member: $250 per calendar year includes:

1. Opportunity to send students to WTC sessions.

2. Receive regular postings of sessions being offered.

3. Opportunity to participate in developing session curriculum and scheduling time of session.

Charter Member: $1,000 per calendar year includes:

Benefits of Participating Membership Plus:

1. Opportunity to participate on the Board.

2. $300 training credit to be applied to training fees each year.

 

P.O. Box 2429

Jonesboro, AR. 72402

Phone: 870-933-9788

Fax: 870-972-0801

Contact Linda Sharp for more information.