WMSBF Membership Application
Please use this form to apply for membership online.  If you are a student, please use this form instead.  Upon receipt, we will contact you with detail about payment, or you can remit payment using the membership fees link to the left.  Thank you for your interest in the West Michigan Sustainable Business Forum!
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* Required information.
Company Name: *
Company Address: *
Company Website:
Company Phone Number: *
Company Fax Number:
Number of Employees *
What is the primary focus/industry of your organization? *
Business Description: *
Sustainable Issues Involving Business: *
Primary Representative: *
Primary Representative's Title: *
Primary Representative's Email: *
Primary Representative's Phone Number: *
Representative's Proxy:
Proxy's Title:
Proxy's Email:
Proxy's Phone:
Please attach an image file of your company logo: