2019 Membership Application for Westcoast Sports Associates
This form will take no more than ten minutes, and the information will be incorporated into a private, online membership directory for WSA Members to more easily connect.
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First Name *
Last Name *
WSA Member Since...? *
Enter the date you first joined the WSA Membership.
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Preferred Contact Information: Email Address *
Please enter just one (your most preferred) email address; which will only be shared with other active WSA Members.
Preferred Contact Information: Phone Number
Please enter just one (your most preferred) phone number; which will only be shared with other active WSA Members.
Preferred Contact Information: Address
Please enter the preferred mailing address for WSA communications to be sent throughout the year.
Share your LinkedIn Page
Below enter the (url) link to your linkedin profile page.
Primary Professional Affiliation *
Please provide the business you currently represent and your title.
Professional Elevator Speech *
Please write a (1-2 sentence) description about your work; the services you provide and/or the mission the business envisions.
Other Philanthropic Affiliation(s)
Please list the nonprofit organizations (the one-two most promiment; excluding WSA) that you have represented/supported in the past five years.
WSA Committee Interest(s)
Please select the Committees that you are interested in learning more about and/or serving as a volunteer member in 2017.
Favorite Roy Firestone Award Honoree *
Over the years, who has been the most memorable Honoree from your perspective?
Future Honoree Consideration
Enter your first choice for a future WSA Dinner Gala Honoree.
Auction Item / Package Contributions
The WSA Dinner Gala is successful in part due to the strength of our silent and live auction packages.  Please list an silent auction item or part of a live auction package you are willing to request in preparation for the 2016 WSA Dinner Gala.
Favorite Social Event Special Guest
Over the years, who has been the most memorable Social Event Special Guest from your perspective?
Clear selection
Future Social Event Consideration
If you were planning a future WSA Social Event / Engagment Activity: What would happen and where would it be held?
Favorite Sports Teams
Please list your top two sports teams; professional or collegiate.
Alma Mater(s) *
Please list the post-secondary institution(s) you have graduated from
Where do you reside? *
Please enter the appropriate zip code.
Where do you work? *
Please enter the appropriate zip code.
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