World Trade Center Fort Lauderdale Membership Form

Please complete the form below to SIGN-UP for or RENEW your World Trade Center Fort Lauderdale membership. Fields marked with an "*" require an entry.

Membership Information

Is this new membership application or a renewal?* New Renewal

Prefix:

First name:*

Last name:*

Suffix:

Business title:

Billing Address 1:*

Billing Address 2:

City:*

State:*

Zip:*

Country:*

County:

Region:

Phone 1:*
Phone 2:
Fax:
Email:*

Would you like to be added to the directory? Yes No

Company Information

Please fill this section if you are signing up for a company.

Organization name:*

Website:

Product/Service: (ie Transportation)

Number of employees:

Year established:(ie 1999)

Sales:

International sales percentage:

Industries (check all that apply):

Aerospace & Defense

Alcohol/Tobacco

Architecture

Automotive

Banking

Beauty/Cosmetics

Beverage

Biotech/Life Sciences

Chemical

CoFood

Communications

Computers & Components

Construction/Engineering

Consulting

Customs Broker

Distributor

Education

Electronics

Energy

Entertainment

Environmental

Equipment/Machinery

Export Trading

Fertilizers

Flowers/Plants

Food Marketing

Food Products

Freight Forwarder/Logistics

Handcraft/Decorations

Healthcare Services

Hi-Tech

Hotel

Importer

Information Technology

Insurance

Jewelry/Watches

Leather Clothing/Furniture

Leather Footwear

Legal

Livestock

Manufacturing

Marine Industry

Mass Media

Medical Equipment & Supplies

Metal Working

Mining/Oil

Office Machinery

Packing & Crating

Paper

Pets Products

Plywood

Precious Metals/Gold

Real Estate

Restaurant

Service Provider

Sports Equipment

Translation/Interpreting

Transportation

Wholesaler

Wine/Alcohol

Wood/Furniture

Other

If Other:

Markets of Interest

Asia

Australia/Oceania

Canada

Caribbean

Europe

Latin America

Middle East/Africa

United States

Countries Currently Doing Business With:

Additional Members

Member 1:
Prefix:	First name:	Last name:	Suffix:
Business title:
Email:

Member 2:
Prefix:	First name:	Last name:	Suffix:
Business title:
Email:

Member 3:
Prefix:	First name:	Last name:	Suffix:
Business title:
Email:

Member 4:
Prefix:	First name:	Last name:	Suffix:
Business title:
Email:

The applicant authorizes the World Trade Center Fort Lauderdale ("WTCFL") to include the applicant's name, contact information and description in the WTCFL website members section and newsletter. The applicant further authorizes WTCFL to share the information contained in the application with the World Trade Centers Association for the purposes of procuring membership cards and accessing membership benefits on behalf of the applicant.