The West Side Business Association

Member Questionnaire

Company Name:

Company Contact:

Type Of Business:

Address Line 1:

Address Line 2:

City:

State:

Zip:

Phone:

Fax:

Email:

Website:

Number of Employees:

Year Company Established:

Company Information:
Please write a brief description of your company or business (around 50 words).

Are you interested in being a sponsor* of a WSBA member meeting?		YES

Are you interested in serving on a WSBA committee?		YES

Are you interested in writing an article on your expertise or interest for the WSBA newsletter?		YES

Would you like to receive the newsletter electronically?		YES

* Sponsoring a meeting consists of providing your products and/or other products or services for member drawings and/or door prizes. This provides an excellent way to get your business name out in front of other members.

West Side Business Association ~ 437 Cty Hwy M ~ Madison, WI 53719
Ph: 608-833-6355 ~ FAX: 608-833-6078 ~ wsba

wsbamadison.com