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Membership Application

Please enter your company information in the spaces provided below.
When complete, print off and mail the completed form with payment to:

Worksite Wellness Council of Rhode Island
P.O. Box 41108
Providence, RI 02940-1108

Organization:
Contact:
Position/Title:
Address:
City:
State/Zip Code:
Telephone:
Fax:
E-mail:
# of employees:

 

Check Membership Option
new rates below are effective January 1, 2007

General Membership: 1-50 employees $99
51-149 employees $395
150-299 employees $395
over 300 employees $549
over 500 employees $549
 
Charter Member:
$1000
Well State Sponsor:
$3000

Make check(s) payable to: WWCRI


The Council is a 501(c)(3) organization and our FEIN# is 05-0502811.

A vision to make Rhode Island a"Well" State.

 


 

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