Please complete the WAM Prospective Member Profile that follows. It will be reviewed by the WAM Executive Committee and if approved, you will be contacted and invited to join WAM.
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Company Name:
Contact Name:
Contact Title:
Address:
City:
State/Province:
Country:
Zip/Postal Code:
Telephone:
Fax:
Email:
Website:
Year company was founded:
Type of business:
Matchmaker/Personal Relationship Search Professional Business Coach Relationship Coach Sales/Training Expert Dating Coach Client Service Training Professional Image Consultant Etiquette Consultant Legal Service Accounting/Bookkeeping Service Administrative Service Public Relations Marketing/Advertising Web Designer Writer/Copywriter Other
List all cities where you have offices:
Describe the geographic area you cover (please be specific):
Number of full-time employees (not including owner):
Number of part-time employees (not including owner):
If your business is an owner operated sole proprietorship, is this your full time occupation? If not, what else do you do?
Please list any WAM member that would be willing to recommend you for membership. (Not required, for information purposes only.)
Please list 2 or 3 ways you think membership in WAM would benefit you or your company:
