Name	:
	Are you a member?	:	Yes No
	Business name	:
	Address	:
	Phone	:
	Fax (if applicable)	:
	E-mail	:
	By sending this email, you are committing to pay the associated fees to attend the WBO Monthly meeting. Your check will be collected at the door prior to meeting start. If you do not attend, you will be billed the appropriate amount accordingly.