Before you fill out the membership application, please be sure you have read the Membership Application Information.

  • Please create a username
  • Please create a password
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  • Membership Dues will be charged to the credit card you supply at the end of this form.
    *If you are a returning member you will only be charged the annual dues associated with your account.

  • *Directory is only visible to Retailers and Reps after they have logged into their WWSRA Approved accounts.

  • Please choose one or more

  • Please choose one or more

  • To ensure that your lines are represented correctly in the online directory, please make sure to enter your lines as follows:

    - Please enter each individual line you carry as well as the states you cover for that brand.

    - Use the +/- icons to add and remove lines. Please note that blank rows will return an error message.

    - Use two-letter abbreviations to indicate states covered, with commas between multiple states (ex: CO, UT, WA).

    - For California, please add "N" or "S" (ex: NCA, SCA) to identify Northern or Southern region.

    - Type "ALL" if you cover the entire Western U.S.


  • Payment Info:

    Your card will not be charged until your membership is approved.
  • American Express