Spouse/Partner's Full Name or Corporate Business Name
(Required for Corporate memberships, Optional for spouse/partner - they will always be welcomed as your guest, regardless)
Your answer
Email *
Primary email contact for all communications
Your answer
Phone *
Primary contact phone number
Your answer
Additional Emails
Additional email address will receive updates and invitations
Your answer
Spouse/Partner Phone
Spouse/Partner Phone Number - for updates and invitations
Your answer
Birthday
We want more reasons to celebrate! But no one but the bartender needs to know the year!
MM
/
DD
Spouse/Partner's Birthday
We promise this isn't a quiz...but get it right!
MM
/
DD
Address number and Street
Your answer
Address zip - so we know the communities we serve *
Your answer
Membership Type *
Choose
Regular
Regular Non-Resident (residing out of state for more than 7 months of the year)
Associate (age 21-29)
Junior (under 21)
How did you hear about us? *
Please check Other to add names of members who spoke to you about WYC. If you came to us without speaking to an existing member, please select how you found our application
Required
Which committees would you like to be on? *
Required
Communication Preferences *
WYC will never sell your personal information. Our member roster is shared with members only.
Required
Children and Ages
Your answer
Business Details
Title/Expertise/Occupation and work location/address