ON-LINE
MEMBERSHIP CHANGE FORM

FOR NAME, ADDRESS, TELEPHONE
and other changes to your membership previously submitted
THIS FORM IS FOR MEMBERS ONLY MAKING CHANGES TO
THEIR WSA MEMBERSHIP INFORMATION CURRENTLY ON RECORD.
MEMBERS ONLY Please enter your new information below. In the comments section, please include former name, address etc., that you were listed under, in order to have us update your file correctly. Membership info is published twice yearly. Deadlines for changes are December 1 (for February Show) and June 1 (for August Show).
First Name:
Last Name:
Company:
Address:
Suite/Floor:
City:
State:
Zip:
Country:
Tel:
Fax:
Check here if your name changed Check here if new address
Check here if new Tel/ Fax/ e-mail Check here for all others
Your e-mail address:
CHANGES TO DIRECTORY LISTING:
Please indicate below changes to your directory listing and specify if you are adding/replacing the listing currently on file.
Adding (to current listing) Replacing (delete old info-insert new info)
Company or Brand Name:
Address: Suite:
City: State: Zip:
Country: Website:
Tel: Fax:
Product: Men's Women's Children Handbags
Accessories Shoe Care Other:
Additional Directory Listing Change:
Adding (to current listing) Replacing (delete old info-insert new info)
Company or Brand Name:
Address: Suite:
City: State: Zip:
Country: Website:
Tel: Fax:
Product: Men's Women's Children Handbags
Accessories Shoe Care Other:
Additional Directory Listing Change:
Adding (to current listing) Replacing (delete old info-ins
Company or Brand Name:
Address: Suite:
City: State: Zip:
Country: Website:
Tel: Fax:
Product: Men's Women's Children Handbags
Accessories Shoe Care Other:
Please enter additional info and comments below.
Comments:

 

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