World Trade Center Delaware

Membership Form



	Membership Form To join, complete the information below and submit with payment.
	Date* Month Day Year
	Select Membership Level* Patron - $6000 Partner - $3000 Sustaining Corporate - $1200 Priority Corporate (50+ employees) - $650 Trade Association - $350 Standard Corporate / Entrepreneurial - $300 Individual - $150
	Company Name*
	Primary Contact* Prefix First Name Middle Name Last Name Suffix
	Secondary Contact Prefix First Name Middle Name Last Name Suffix
	Address* City State Zip Code Country
	Phone*
	Fax
	Email*
	Website
	Company/Business Category* Bank Distributor Exporter Importer Insurance Company Logistics Provider Manufacturer Retailer Service Provider Trading Company Wholesaler Other: Other Value Select all that apply
	Briefly describe your company/business*
	Month/Year Established Month Year
	Number of Employees*
	Annual Gross Receipts $
	Primary Bank/Financial Institution
	In which countries, if any, are you aready doing business?
	In which countries are you interested in developing NEW business?
	Based on your current international trade status, how can WTC Delaware be of assistance to your company?*

Please type the word above


	World Trade Center Delaware \| 702 West Street \| Wilmington, DE 19801 \| Ph: 302-656-7905 \| Fax: 302-656-7956 \| info@wtcde.com