WEDI Membership Application Select An Option Platinum Premium Member Price of Level Selected (Price Range: $25,000.00 - $25,000.00 Once Per Term) Select Level Platinum Premium Member: $25,000.00 Annually Gold Premium Member Price of Level Selected (Price Range: $15,000.00 - $15,000.00 Once Per Term) Select Level Gold Premium Member: $15,000.00 Annually Non-Profit Member Price of Level Selected (Price Range: $1,800.00 - $12,000.00 Once Per Term) Select Level Non-Profit - Less than $5,000,000: $1,800.00 Annually Non-Profit - $5,000,001 - $100,000,000: $3,000.00 Annually Non-Profit - $100,000,001 - $1,000,000,000: $6,000.00 Annually Non-Profit - $1,000,000,000 - $10,000,000,000: $9,000.00 Annually Non-Profit - More than $10,000,000,000: $12,000.00 Annually For-Profit Member Price of Level Selected (Price Range: $600.00 - $18,000.00 Once Per Term) Select Level For-Profit - Less than $1,000,000: $600.00 Annually For-Profit - $1,000,000 - $5,000,000: $3,000.00 Annually For-Profit - $5,000,000 - $25,000,000: $6,000.00 Annually For-Profit - $25,000,000 - $100,000,000: $9,000.00 Annually For-Profit - $100,000,000- $1,000,000,000: $12,000.00 Annually For-Profit - $1,000,000,000 - $10,000,000,000: $15,000.00 Annually For-Profit - More than $10,000,000,000: $18,000.00 Annually Government Member Price of Level Selected (Price Range: $0.00 - $0.00 Monthly) Select Level Government: $0.00 Monthly Medicaid Organization: $0.00 Monthly Must be employed solely by a state or federal agency (i.e. Department of Health and Human services) Enter Contact Information Prefix (i.e. Mr. Mrs. Dr.) First Name Last Name Suffix (i.e Jr. Sr. III) E-mail Family NameBusiness Name View Membership Terms Next Please select a valid membership option and fee item if exist Powered By GrowthZone
