Interest Form

BUSINESS CONTACT INFORMATION
Welcome to the YMCA of Pierce and Kitsap Counties. We are pleased to include you as a participant in our Corporate Membership program. The YMCA is a non-profit, mission driven organization dedicated to building strong kids, strong families, and strong communities. We are committed to assisting local companies in providing the best health and wellness opportunities for their employees.
Reason for submitting form*

New Corporate MembershipRenewing Corporate MembershipWould like to learn more about Corporate Membership
Business Identification Number (Washington State UBI)*
Number of Employees*
Business Name*
Business Address*

Mailing Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Contact Name*

First NameLast NameJob Title
Contact Phone Number*

Area CodePhone Number
Contact Email*
We Are Interested in Learning More About:*

Team BuildingVolunteer OpportunitiesOn-Site Health Living Classes or SeminarsOn-Site Group Exercise ClassesMeeting and Event SpacesSponsorshipMembership Opportunities
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BUSINESS CONTACT INFORMATION