Member Application

Welcome and thank you for applying for membership with Greater Fort Wayne Inc.! All membership applications are subject to approval.

IMPORTANT NOTE: Your application must be completed in its entirety in order to be processed. Incomplete applications will not be saved.

The security of your cardholder data is important to us. Please click the icon below for more information on how Greater Fort Wayne Inc. protects merchants and consumers using our website.

Step 1:

Member Info
Please add your company name.
Please add your company phone number.
Please add your company website.
Please add a valid email.
Physical Address
Please add your address.
Please add your country.
Please add your City.
Please add your State.
Please add your Postal Code.
Mailing Address
Please add your address.
Please add your country.
Please add your City.
Please add your State.
Please add your Postal Code.
Social Network Addresses

Step 2:

Additional Info
Please add your company description.
Please add your business keywords.
Please select a directory category.
Please add your number of full-time employees.
Please add your number of part-time employees.
Looks good!
Looks good!
Looks good!
Looks good!

Step 3:

Primary Contact
Please add your first name.
Please add your last name.
Please add your title.
Please add your phone number.
Please add a valid email.

Contact Preference

Address
Please add your address.
Please add your country.
Please add your City.
Please add your State.
Please add your Postal Code.

Step 4:

Billing Contact
Please add your first name.
Please add your last name.
Please add your title.
Please add your phone number.
Please add a valid email.

Contact Preference

Address
Please add your address.
Please add your country.
Please add your City.
Please add your State.
Please add your Postal Code.

Step 5:

Membership Package
Please select a Membership Package
Additional Options:
Payment Option
Please complete the Captcha