Join the Wildwood Business Association
Please complete the form below. NOTE: Fields labled in
bold
are required.
Business Information
Business Name:
(As it will be shown on the WBA website.)
Principle Owner First Name:
Last Name:
Secondary Owner First Name:
Last Name:
Business Address:
Show Address on website:
(checked-YES, unchecked-NO)
Business City:
State: MO,
ZipCode:
Map to Location:
(Copy and paste entire link from Google Maps, Bing or Yahoo maps into space above.)
Business Phone:
(###-###-####)
Primary E-mail Address:
(This address will be your account sign in e-mail address.)
Secondary E-mail Address:
Website Address:
(copy and paste actual address if possible. NOTE: Be sure address begins with http://)
Business Description
(Enter a description of the products and/or services this business offers.)
Search Key Words:
(Enter additional words to those above that a person might use to find this type of business, its products or services.)
Type of Membership:
Select from list
New Member - Inside Wildwood city limits - $50.00
New Member - Outside Wildwood city limits - $100.00
Member Account Password:
(Six to ten alpha numeric characters. NO spaces.)
Security Code:
(Enter exactly as shown.)
Please review all information entered for accuracy and when satisfied, click once on the "Save Information" button.
After clicking on the "Save Information" button, your information will be stored in our database, our membership chairperson will be notified and you will be taken to a page where you can select and process payment for your membership.
