MEMBERSHIP APPLICATION

MEMBERSHIP DUES:    Billing annually and updated each October 1.  Partial Year is pro-rated. 

A - If you have eight or less full or part-time employees (including owners)...Your yearly dues are $100.00
B - If you have nine, but less than 20 full or part-time employees (including owners)...Your yearly dues are $200.00
C - If you have 20, but less than 30 full or part-time employees (including owners)...Your yearly dues are $300.00
D - If you have 30 or more employees or multi offices ...Your dues are $400.00

Name of Individual:
Name of Bureau:
Mailing Address:
City:
State:
Zip(9-digit):
Phone Number:
Fax Number:
E-Mail:
 
Membership Dues Plan (specify letter that corresponds to options listed above):
Is your Bureau a Partnership, Sole proprietorship or Incorporated?
Please list the name of your primary voter
Please list the name of your Alternate voter
What year did your bureau open?
Have you been the owner from the beginning?
If not, what year did you purchase it?
Do you offer both live answering and voice mail?
What equipment do you use for the live portion of your business?
What type of equipment do you use for the voice mail portion?
What other services do you offer, such as paging, alpha dispatch, office rental, bookkeeping, mail or forwarding? (Please list in order of importance)
Who is your serving telephone company?
Do you belong to any trade association or related user groups?
If so, which one (s)?
 
If the future membership should be billed to someone other than listed above, please submit the current mailing address and contact information.  
 
Name of Individual:
Mailing Address:
City:
State:
Zip(9-digit):
Phone Number:
Fax Number:
E-Mail:


PLEASE MAKE YOUR YEARLY DUES  PAYMENT TO WSTA (pro-rate as appropriate)

Circle the letter of your business size and mail with your check to the following address - Thank you

Mail To:  Dan L'Heureux, Executive Director WSTA
PO Box 46254 Phone: 1-877-754-4103
Minneapolis, MN 55446-0254 Fax 763-476-2193