Wayne America General Member Application
Instructions
Welcome to Wayne America! We are excited to have you join us.
Select An Option
5 Star
$2000+
4 Star
$1500
3 Star
$1000
2 Star
$500
1 Star
$400
Individual
$200
Non-Profit
$100
Enter Contact Information
Prefix (i.e. Mr. Mrs. Dr.)
First Name
Last Name
Suffix (i.e Jr. Sr. III)
Designations
E-mail
Family Name
Business Name
View Membership Terms
Next
Please select a valid membership option and fee item if exist
