Auxiliary (Support Partners) Membership Application
Top of Form
Company/DBA Name:
Contact Name/Title #1:
Contact Name/Title #2:
Address:
City | State | Zip:
||
Phone:
()-
Fax:
Website:
Email:
Preferred method of communication:
Please Select Method Email Fax Mail
Number of Full-Time Employees:
Number of Part-Time Employees
Membership Directory Business Category
Reasons for Joining (or need information about):
WBW Group Insurance & Employee Benefits
Solid Discounts from other Support Partners Free Quarterly Business Training Sessions To Market our services/products to other Members and to Non Profits
Discounts on WBW promotional products Web site Marketing Assistance
Profit by Partnership (please indicate which product(s)
Low Celecommunication Service PEO advantages to lower workers comp costs Wachovia/Wells Fargo Retirement Plan Consultation
Low Cost 401k Administration Property & Casualty Insurance I.T. Support and Training & Services Income Tax Strategy & Planning
If you would like to participate in an Area Council, please check box below. More than one may be selected.
Regional Council of Auxiliary Members
Non Profit Meeting (viewer only)
What type of discount on which of your services will you offer to other members and Non Profits?
If you wish to offer such services, you must submit five legitimate references who use your product.
Your company will also have a background check, for which you must pay the cost of $79.00
Can you recommend a business partner or associate who would benefit from a WBW Auxiliary membership? Please include name, address and phone number.
Membership Investment Schedule
General Business Your membership investment varies based on the size of business, number of employees, and various other factors. Please contact the Membership Department at (954-857-1761) for a quote.
Professional(attorneys; accountants; medical; insurance agents, brokers)
Realtors
Apartments/Condominiums/Time Shares: Number of units:
Hotels/Motels: Number of rooms:
Restaurants/Lounges: Capacity/# of seats:
Hospitals: Number of beds:
Nursing/Convalescent Homes: Number of beds:
Banks/Credit Unions/Financial Institutions: Million in deposits
Trustees: Minimum Investment $300
Comments/Suggestions
The above information is correct to the best of my knowledge
