WBASNY Listserv Request

Listserv Request Form

Name*

First Name

Last Name

Email*

Address*

Address Line 1

City

State

ZIP Code

Are you a current member for the 2023-2024 fiscal year of a Chapter of WBASNY?*

Yes No

What chapter are you a member of?

Have you read Acceptable Use Policy and Participation Agreement for the WBASNY Listserv and do you agree with its terms?*

Yes No

Are you an employee or elected official of any judicial, legislative or executive branch of any local, state or federal government and/or political subdivision who is not authorized to perform work outside the scope of your current employment?*

Yes No