WNBPA Certified Agent Applicant Contact Information
Dear Prospective Agent:

Thank you for your interest in becoming a certified agent with the Women’s National Basketball Players Association. To receive a link to the online application, please complete and submit the form below and send two separate payments to the WNBPA at the address below:

Payment #1: a non-refundable application fee in the amount of two-hundred fifty dollars ($250.00); and
Payment #2: the annual dues in the amount of seven-hundred fifty dollars ($750.00).

Payments must be submitted as either a check or money order, and made payable to the “Women’s National Basketball Players Association." Upon the WNBPA's receipt of your payment and completion of this form, you will be provided with a link to the online application for Certification as an Agent.

Please mail both checks/money orders to the following address:
WOMEN'S NATIONAL BASKETBALL PLAYERS ASSOCIATION
ATTN: MICHAEL GOLDSHOLL
1133 AVENUE OF THE AMERICAS, FLOOR 5
NEW YORK, NY 10036

Each question must be answered in order for us to fully evaluate your credentials. Failure to provide all required documents will delay the process of your application.

Please note that all Applicants will be required to provide both of the aforementioned payments before the application can be submitted. Please be sure to include the name of the applicant in the memo section of the check or money order.

If you have any questions regarding the enclosed application or the application process, please do not hesitate to contact our offices.

Sincerely,

Michael Goldsholl
Director of Operations for Business & Legal Affairs
Women’s National Basketball Players Association (WNBPA)
Office: (212) 655-0906
Email: michael.goldsholl@wnbpa.com 
Sign in to Google to save your progress. Learn more
Email *
Applicant's Full Name *
Applicant's Email Address *
Applicant's Mailing Address *
Cell Phone *
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of NBPA. Report Abuse