This application must be filled out in its entirety and signed by an Authorizing Officer. Due to the sensitivity of the information contained in the WCRB website membership, the Authorizing Officer of the Group Administrator must be the President, Owner, or a Chief Officer of the organization. The Applicant and Authorizing Officer may be the same individual.
Once the application is complete, select the “Submit Application” button. Both the Applicant and Authorizing Officer will receive an emailed copy of the completed application along with the Membership Terms and Conditions for their records.
The WCRB Group Administrator Web Account Application will be processed within two working days. If the account is created, the Applicant will receive an email notification with a temporary password and login instructions. If there is a problem with the application, the applicant will receive an email from wcrbwebmaster@wcrb.org detailing steps required to resolve the problem.
Membership Guidelines
After the Group Administrator (GA) account has been established, it is the responsibility of the GA to set up additional Administrator or User accounts. To avoid misuse of your account, WCRB website members should not share login credentials.
Additional information can be found in the WCRB Website Member User Guide.
ALL FIELDS ARE REQUIRED
Group Administrator Information
Organization Name: 
Applicant Last Name:
First Name:
Mailing Address (Street or P.O. Box):
City:
State:
Zip:
Email Address:
Phone Number:
()
-
Verify Email:
Choose a User ID:
- must be between 6 and 20 alphanumeric characters in length
- numbers and lowercase letters only
- no special characters (ie: $&*_!?-%)
Authorizing Officer for Applicant
Last Name:
First Name:
Verify Email:
BY SUBMITTING THIS APPLICATION THROUGH THIS WEBSITE AND TYPING MY NAME IN THE BOX BELOW, I AM OFFERING MY DIGITIAL SIGNATURE IN LIEU OF MY HANDWRITTEN SIGNATURE. THE AUTHORIZING OFFICER IS CONSENTING TO APPLY FOR A WEB MEMBERSHIP IN ELECTRONIC FASHION. THE DIGITAL SIGNATURE CONTAINED WITHIN THIS APPLICATION IS ENFORCEABLE AND CANNOT BE DENIED LEGAL EFFECT PURSUANT TO WIS. STAT. 137.15(1).
Authorizing Officer Signature: