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Membership Form
Become a member of WEBA by filling out the form below and paying $25 in Membership Dues
* Indicates required question
Email
*
Record my email address with my response
Your First and Last Name
*
Your answer
Business Name
*
Your answer
Business Address
*
Your answer
Business Phone Number
*
Your answer
Describe your business
*
Your answer
What interests you about WEBA?
Your answer
How can WEBA help you/your business?
Your answer
What advocacy topics would you like WEBA to pursue?
Your answer
What types of community service projects could WEBA undertake to provide meaningful outcomes for the West End?
Your answer
Do you have funding connections you can introduce to the WEBA leadership?
Yes
No
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If you answered "Yes" to having funding connections that you could introduce to WEBA, please provide their names and contact information.
Your answer
How are you paying your $25 Annual WEBA Membership fee?
*
WEBA PayPal Link which automatically opens when this application is submitted.
WEBA Donate Link for credit/debit cards shown here (Insert note "For Membership"):
https://www.paypal.com/donate/hosted_button_id=DT5GJRYZDLYQW
Check or Money Order by mail to West End Business Association, 3050 W. Broadway 40211
Not Applicable (Already Paid or Donated in 2020-2025)
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