WEDI Membership Application

Instructions

WEDI Membership is based off of your organization's gross annual revenue. Please select the membership tier applicable to your organization.

Government entities or Individuals, please contact Bill Allder at ballder@wedi.org to discuss eligibility for these membership classes.

Select An Option

For-Profit Member

Select Level

Non-Profit Member

Select Level

Government Member

Select Level

Must be employed solely by a local, state, or federal government organization (i.e., Department of Health and Human services; State Medicaid Office; County Health Department; etc.)

Enter Contact Information

Prefix (i.e. Mr. Mrs. Dr.)

First Name

Last Name

Suffix (i.e Jr. Sr. III)

Designations

E-mail

Family NameBusiness Name

Please select a valid membership option and fee item if exist

WEDI Membership Application

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