WEDI Membership Application

Select An Option

Non-Profit Member Price of Level Selected (Price Range: $1,800.00 - $12,000.00 Annually)

Select Level

For-Profit Member Price of Level Selected (Price Range: $600.00 - $18,000.00 Once Per Term)

Select Level

Government Member Price of Level Selected (Price Range: $0.00 - $0.00 Monthly)

Select Level

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

Please select a valid membership option and fee item if exist