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Primary Contact Information
Is the primary contact one of the 5 to become a WAI Member?
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Please select the correct choice for each of the following questions below
I wish to receive a FREE subscription to the Wire Journal International.
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IN LIEU OF SIGNATURE, PLEASE SPECIFY THE MONTH YOU WERE BORN
On the next page, please include your associates to gain WAI membership benefits.
Please enter the Associates' FULL NAMES and job titles below. If the associates have different company locations and/or mailing addresses than yours, please enter them below.

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