Worksite Wellness Council of Rhode Island

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

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 see wellness in every workplace in Rhode Island.