wirenet.org - Membership Application Form

To begin your membership with The Wire Association International, Inc., please complete all fields on this form, print form (click on the printer icon above), and mail or fax back to WAI headquarters. Alternately, you may e-mail the form to us by clicking the "SUBMIT" button at the end of the page.

THE WIRE ASSOCIATION INTERNATIONAL, INC.
1570 Boston Post Road, P.O. Box 578
Guilford, Connecticut 06437-0578, USA
Telephone (001) 203-453-2777 -- Fax (001) 203-453-8384

Complete all fields below. To process your membership, you must complete the fields marked with an asterisk (*).

General Information:

First Name*

Last Name*

Title

Company Name*

Address*

City*

State/Prov*

Zip/Postal Code*

Country*

Country Code and Phone Number*

E-mail address

Country Code and Fax Number*

Referred By*

Birth Date* Gender*

Business Information: (Required)

Which ONE of the following best describes your company's type of business?

1. Wire Manufacturing	2. Fasteners, Wire Forming & Fabricating
Aluminum & Aluminum Alloys (Rod/Bar, Bare Wire)	Fastener Manufacture
Copper & Copper Alloys (Rod/Bar, Bare Wire)	Four-Slide forming
Steel & Steel Alloys (Rod/Bar, Bare Wire)	Hot and/or Cold forming and heading
Other Metal (Rod/Bar, Bare Wire)	Spring manufacture
Electrical (Insulated Wire)	Wire cloth mesh screening
Communication (Insulated Wire)	Other forming and fabricating
Fiber Optics	Specify:


3. Suppliers to the Wire Industry	4. Wire End-User
Machinery	Appliance
Process / Materials	Communications (Voice/Data)
Accessories	Computer
	Construction/Building
5. Other	Electrical (Equip./Components/Power)
Service Cntrs, Distrib.& Warehouses	Transportation/Vehicular
Consultants	Wire Formed Durable Goods
Govt., Library, others allied to field

Which ONE of the following best describes your primary job function?

General & Administrative Management

Engineering\Operations\Production

Technical\Research & Development\Quality Control

Purchasing

Sales & Marketing

Other Please Specify:

Dues:

Your membership dues may be deductible as an ordinary and necessary business expense, not as a charitable contribution. Membership in WAI is held by the individual, not the company, and is continuous unless cancelled in writing. Membership is not transferable. Dues are billed annually based upon the member's anniversary date, and are non-refundable. Annual dues are set by the WAI Board of Directors, and are subject to change.

1 year Membership $95 U.S.

2 year Membership $175 U.S. (savings of $15 U.S.)

3 year Membership $255 U.S. (savings of $30 U.S.)

Student Membership (Must be enrolled fulltime in an institution for advanced education and have an interest in processes, techniques, and methods for the manufacture of wire. Dues waived with proof of enrollment.) Instituition: Graduation Date:

Chapter Affiliation ($0 - 1st year free, $15 fee for 2 yr membership, $30 for 3 yr membership)

Please indicate the chapter in which you would like to participate.

New England - USA

Mid-South - USA

Southeast - USA

Midwest - USA

Ohio Valley - USA

Western - USA

Poland

India

Italy

none

As part of my membership, I wish to receive a free subscription to the Wire Journal International.

Father's first name: (Required field in lieu of signature.)

Choose method of payment:

Credit Card (Please see note below)

Card No. Expires (mm/yy)

NOTE: All credit card transactions are processed in U.S. dollars. Credit card payments are preferred for members joining from outside the U.S. and Canada. If you would rather not provide credit card information online, please print and fax this form to WAI at (001) 203-453-8384.

Check or Wire Transfers

Please print this application and mail with check payable to:

The Wire Association International, Inc.
1570 Boston Post Road, P.O. Box 578
Guilford, CT 06437-0578

TOTAL AMOUNT OF CHECK ENCLOSED US$

For all other countries, if a credit card is not used, send wire transfer in U.S. dollars. If you desire to send a wire transfer please contact us for instructions.

By clicking on the button below your information will be forwarded to our membership department for review. We will respond within one business day to complete the transaction. Thank you for your interest in WAI membership.

** We recommend that you either mail or fax your membership application to insure the privacy of your credit card information. Current electronic transactions ARE NOT SECURED via this web page, please call with your credit card information during normal business hours.