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.

Interactive WAI Membership renewal PDF, just fill it in online, print it, sign it and fax it back to complete your membership! To start out, just click here.

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

To process your membership, all fields marked bold/italic must be filled.

General Information:

Please enter your first name.

Please enter your last name.

First Name

Last Name

Job Title

Company Name

Please enter your street address.

Address

Please enter your city.

City

State/Prov

Zip/Postal Code

Please enter your country.

Country

Is the above address a Business Personal address?

Country Code and Phone Number

Please enter your email address.

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 & Cable Manufacturing	2. Fasteners, 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. Supplier to the Wire & Cable Industry	4. Wire End-User
Machinery	Appliance
Process, Accessories, Materials	Communications (Voice/Data)
	Computer
5. Other	Construction/Building
Service Cntrs, Distrib.& Warehouses	Electrical (Equip./Components/Power)
Consultants	Transportation/Vehicular
Govt., Library, others allied to field	Wire Formed Durable Goods

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 $110 U.S.

2 year Membership $205 U.S. (savings of $15 U.S.)

3 year Membership $300 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:

*Inquire about corporate rates. Contact mmurray@wirenet.org

Chapter Affiliation ($15 - 1st year, $30 fee for 2 yr membership, $45 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

I wish to receive a free subscription to the Wire Journal International. Please select an item.

In what month were you born? Please select the month you were born in. ((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.

If you press the submit button and nothing happens, please scroll to the top of the page to verify all information was filled out properly.