WCO-New-Member-Application-Form

PA Wilds Cooperative Member Application

Fill out the form below to apply to join the PA Wilds Cooperative network, and join the ranks of 700+ businesses and nonprofits located in the PA Wilds.
The Pennsylvania Wilds is a designated region of Pennsylvania that includes 12.5 counties - Cameron, Clarion, Clearfield, Clinton, Elk, Forest, Jefferson, Lycoming, McKean, Potter, Tioga, Warren and northern Centre.

Joining the network is the entry point to being promoted on PAWilds.com, using the PA Wilds logo on marketing materials, accessing branded products, selling products through PA Wilds markets, peer networking, business referrals, and more.

For more information about the PA Wilds Cooperative check out the Membership Guide Here.

Not sure where you fit? Check out this Decision Tree here to help you determine which type of membership type you should select.

Organization or Business Name*
Contact First Name*
First Name
Contact Last Name*
Last Name
Contact Name

First NameLast Name
Contact Email*
example@example.com
Business Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Business/Site Address - Street*
Enter Street Address
Business/Site Address - City*
Enter City
Business/Site Address - State*
Enter State Initials
Business/Site Address - Zip Code*
Enter Zip Code
Business/Site Address

Street Address

Street Address Line 2

CityState

Zip Code
County*
Note: If you select "Other: County not listed" - you may be invited to join as a Friend of the WCO, as regular Wilds Cooperative membership is reserved for businesses and organizations located in the designated Pennsylvania Wilds region. Questions? Contact WildsCoPA@PAWildsCenter.org.
YesNo
YesNo
Please tell us your hours of operation (include the day of the week and hours):
EX: Mon-Fri: 10 am - 5 pm, Sat: 11 am -3 pm, Sun: closed
Billing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

For ProfitNot for ProfitGovernment AgencyMunicipality
Year Established*
under $25,000$25,000 - $50,000$50,000 - $75,000$100,000 - $200,000$200,000 - $300,000$300,000 - $400,000$400,000 - $500,000over $500,000
Gross Revenue Last Fiscal Year*
Information is confidential and only ever used in aggregate with other member data.
Website*
Facebook
Instagram
Tagline*
Tell us about your business in 80 words or less.
Business / Organization Description*
Describe your business. This information will be used for promotional purposes. Consider this a short introduction to new customers or folks interested in what you do.
Logo Upload*

Please upload your business logo.
Cancelof
WCO Membership Sector Selection

Select the sector that best describes your business or organization.

Here is a brief overview of membership classifications to help, but for more information, check out our Membership Guide here.
Note for Creative Maker Applicants: Creative Maker membership is juried, requiring all Creative Maker applicants to undergo a Jury Review. Jury Reviews take place twice a year, and new Creative Maker applicants who are eligible for membership are approved as Creative Makers in Review until the next Jury Review takes place. Following application, Creative Makers will be billed $20 for the one-time Jury Review fee. Payment is required to qualify for Jury Review and to receive full Creative Maker member benefits. For more information on the Jury Review process, visit the WCO Member Guide.
Creative MakerExperience MakerResource Partner

Creative Maker Jury Review Fee*

Creative Maker Jury Review Fee

We assemble a jury panel twice a year to score Creative Maker applicants based on criteria that is publicly posted. This one-time fee helps cover related expenses.

$20.00

Enter coupon

Total

$0.00

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

RESOURCE PARTNERS

You selected the Resource Partner Membership Category.
As a Resource Partner serving the Pennsylvania Wilds, your business or organization provides the services and resources that support businesses and the environment, helping our region thrive.

Next you will select your Resource Partner Type.
- Business Development Partners - business support services • chamber of commerce • economic development organization • incubator/innovation center • local development district • small business development center
- Stewardship Partners - conservation groups • trail groups
- Community Partners - community based group or non-profit • education center • heritage area • historical society • local government
- Production + Services Partners - agricultural services • environmental services • manufacturing • professional services • real estate services • technical services
No matter what term you choose from the member types below, you will get access to the same benefits as other Resource Partners. This just helps us categorize members and ensure our communications are relevant to your industry and needs.
Business DevelopmentCommunityStewardshipProduction and Services
Primary Service*

Terms, Conditions and Acknowledgements

By submitting this application you are confirming that: at the time of submission all information in your application is true and correct; you are abiding by all local, state and federal laws/regulations applicable to your business; and as a member of the Wilds Cooperative of Pennsylvania's community, you will be committed to the development of others and that you intend to develop your business and professionalism continuously. You are also agreeing to abide by the Wilds Cooperative of Pennsylvania's Privacy Policy and Terms and Conditions for Site Use and Membership. You can review the WCO Terms and Conditions at https://wildscopa.org/terms-and-conditions/. If you are accepted into membership, but it subsequently turns out that any or all of the information provided by you was misleading or false, we reserve the right to revoke the membership with immediate effect, without the right of appeal.
AgreeDisagree
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PA Wilds Cooperative Member Application

WCO Membership Sector Selection

EXPERIENCE MAKERS

RESOURCE PARTNERS

CREATIVE MAKERS