WBA MEMBERSHIP APPLICATION

Required fields are indicated with bold type and an *
WBA Membership Application
*Firm Name
*Street
*City/Town
*Mailing Address
*Phone           Fax
Website
E-Mail       
CEO
*Primary Contact          *Title
Contact            Title

TOTAL EMPLOYEES:             WOBURN RESIDENTS:
*Full Time                         Full Time  
*Part Time                        Part Time  

GIVE A BRIEF DESCRIPTION OF YOUR BUSINESS TYPE AND PRODUCTS OR SERVICES.

*Date           Signature     

Referred By:
Firm                Name      



LEVEL
1
2
3
FT EMPLOYEES
1-9
10-19
20-34
DUES
$ 175.00
$ 275.00
$ 415.00
LEVEL
4
5
6
FT EMPLOYEES
34-74
75-100
100-+
DUES
$ 550.00
$ 660.00
$ 1,100.00
** $600 PLUS $2.00 PER EMPLOYEE, BUT NO MORE THAN $1,100.00
NOTE: MEMBERSHIP EFFECTIVE UPON RECEIPT OF APPLICATION, APPLICABLE DUES AND APPROVAL BY THE WBA BOARD OF DIRECTORS


Woburn Business Association P. 781-935-0345  F. 781-935-8920
P.O. Box 3057, Woburn, MA 01888-1857 - 10 Tower Office Park, Suite 416, Woburn, MA 01801
copyright © 2005 Woburn Business Association
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