Online Membership Application

Please complete as much as possible, as this data is used to maintain and service your membership. All contact information provided will only be used by WCI, and will never be shared or sold. If you have questions, please call us at 828.667.3311. We look forward to having you in our family of employers!

If your membership is for multiple sites, start with your main site, then add each additional site using the link provided after submitting this page.

Application for WCI Membership

Organization Name:*

Mailing Address:*

full mailing address with city, state and zip

Main Phone Number:*

Website:*

Description of Your Products or Services:*

Street Address of Main Site:*

Current Number of Employees at Main Site:*

if variable, use average full-time equivalents

Senior Site Official's Name:*

Senior Site Official's Title:*

Senior Site Official's Email:

if okay to send semi-monthly eBrief

HR Professional's Name:*

HR Professional's Title:*

HR Professional's Email:*

Employee Responsible for Health & Safety:*

Safety Manager's Email:*

Employee Responsible for Quality:

Quality Manager's Email:

Additional Contact we should know about:

Additional Contact's Title:

Additional Contact's Email:

To whom should we send invoices?*

name and email (and address if different)

How would you like to pay for your initial membership?*

Please send invoice for check payment

Please contact us for credit card payment

Person Completing this Application:*

Do you have another site to include in this membership?*

Yes

see link after submitting this page to add an additional site

Labor Poster Sets:*

required posters in English

required posters in Spanish

government contractor posters

select as needed, one set included per paid site

How did you find us?*