Please complete your Member Application below.

Already spoken with a Chapter Head? Click here to jump to submit your dues and your Member Profile.

Name

First Name

Last Name

Title

Company

Relevant designations/certifications.

Email Address

Phone

(###)

###

####

Website

http://

Industry

If you marked "Other" above, please provide your industry below:

Birthday

YYYY

Which group are you applying to?

Briefly describe your service offerings.

Briefly describe your goals in joining The W Source™.

Have you spoken to a Chapter Head? If so, please provide her name below:

How did you hear about The W Source™? Please include any Member and/or Non-Member Referrals.

Additional Information:

I acknowledge that I am in good standing for my profession, and if I claim a professional credential (e.g. CFP, CPA, Atty, etc.), that I am in compliance with the standards of that industry.

I agree.

I acknowledge that all members are required to sponsor a Monthly Meeting breakfast or lunch for the group once every 15-20 months (depending on the group size) and are given the opportunity at that meeting to showcase their business during the "Member Showcase."

I agree.

I acknowledge that refunds are at the discretion of The W Source™.

I agree.

I have read and accept the Terms, Conditions, and Responsibilities of Membership.

www.thewsource.com/terms-conditions

I agree.

I have read and agree to the Privacy Notice.

www.thewsource.com/privacy-policy

I agree.