Become a WalStreet Member

MEMBERSHIP INFORMATION:
Do you have a Walmart Vendor Number?* Yes No
Walmart Vendor Number*

Company Name*
Main Representative Mr. Mrs. Ms.
First Name*
Middle Initial
Last Name*
Title
Street Address*
(as it will appear in membership directory)
City*
State* *
Zip Code*
Telephone* (format: 555-555-5555)
Fax (format: 555-555-5555)
Email*
Website URL
(will be linked to the Chamber site)

Preferred Business Classification*
Username* (minimum 6 characters)
Password* (minimum 6 characters)
Business Description (250 characters)

ADDITIONAL INFORMATION:
Mailing Address (if different from street address)
Street
City
State
Zip Code

TELL US MORE ABOUT YOU:
Year your business was established
Home-based business? Yes No

Minority-owned business? No
African-American Owned
Asian-American Owned
Hispanic-American Owned
Women Owned
Other (please explain in comments below)

MEMBERSHIP INVESTMENT:*
Click on each membership level to read about the specific benefits. Then select your level of investment.
WalStreet Supplier Membership
WalStreet Individual (1 person office) - $300
WalStreet Silver          (2-5 employees) - $500
WalStreet Gold            (6+ employees) - $1000
Parent Company - $1,000
Brand Under Parent Company - $250

Premium Membership (Minimum investment $1500)
Investment - $

Board of Advisors Membership (Minimum investment $2000)
Investment - $

Web site listing only
Yearly investment - $150

Number of full-time employees*