Associate Member Registration

Enter Your Update Code to Continue Where you Left Off

Note: Highlighted field = Appears on AWC website
   General Information
*Business Name:    
*Street Address 1: Street Address 2:
*Zip:    
*City: *State:
*Office Phone: *Company Website:
   Primary Contact
*Name: *Title:
*Email: Cell Phone:
   Secondary Contact
Name: Title:
Email: Cell Phone:
   *Membership Categories (select up to 3)
   About your Business
*Description of Business: * Note: This is limited to 600 characters
*How did you hear about AWC?:
*Company Revenues:    
       
   Upload Logo(.png, .jpg, or .gif smaller than 500kb)
     *Note: Reselection is needed if there are validation errors of any kind
Logo: Upload New:
   Upload Profile Photo(.png, .jpg, or .gif smaller than 500kb)
     *Note: Reselection is needed if there are validation errors of any kind
Profile Photo: Upload New:
   Payment Information
Total Due N/A
Annual Membership Fee N/A
One-time Enrollment Fee $50.00

Payment Method


Please enter your credit card information below
*Credit Card Number(numbers only)

*Expiration Date(MM/YYYY)
 / 
*Security Code(number on back of card)

If you have issues with your payment, please call Grace at 651-208-2327 or email at grace@awcmn.org



       |