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Application to become a member
Application to become a member
Anne Dimon
2018-11-02T18:09:44+00:00
ABOUT YOU
First Name
*
Last Name
*
Title
ABOUT YOUR COMPANY
Company Name (If Applicable)
Primary Address
Street Address
Apt, Suite, Bldg. (optional)
City
State / Province / Region
Postal / Zip Code
Afghanistan
Albania
Algeria
Andorra
Angola
Antigua and Barbuda
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Central African Republic
Chad
Chile
China
Colombi
Comoros
Congo (Brazzaville)
Congo
Costa Rica
Cote d\'Ivoire
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor (Timor Timur)
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Fiji
Finland
France
Gabon
Gambia, The
Georgia
Germany
Ghana
Greece
Grenada
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Korea, North
Korea, South
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Mauritania
Mauritius
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepa
Netherlands
New Zealand
Nicaragua
Niger
Nigeria
Norway
Oman
Pakistan
Palau
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Qatar
Romania
Russia
Rwanda
Saint Kitts and Nevis
Saint Lucia
Saint Vincent
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
Spain
Sri Lanka
Sudan
Suriname
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States of America
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Yemen
Zambia
Zimbabwe
Country
Website URL
*
Primary Phone
*
Primary Phone to be used by #WTA admin
Phone number
Phone number to be shared via Member Database
ARE YOU SOCIAL?
Facebook URL
Twitter URL
Linkedin URL
Instagram URL
Please upload your company logo or your own picture
Profile Image/Company Logo
WHAT DEFINES YOU
Category
*
Hotels & Resorts
Wellness Resorts
Wellness Travel Companies
Travel Advisors
Media
Partners
Wellness Practitioners/Educators
Tour Operators
Destination Management Organizations/CVBs
Industry Consultant
Other Wellness Travel Professionals / Enthusiasts
Wellness Retreats
Other
HOTELS, RESORTS & RETREATS
In 100 words or less please tell us what wellness amenities and programs your hotel, resort or retreat offers:
Wellness Resorts
Check the boxes of the following statements that apply to your Wellness Resorts
Our primary revenue drivers are wellness related.
We offer wellness programs inclusive of accommodation.
We offer a full spectrum of wellness offerings including health-focused lectures and healthy food options.
Wellness Travel Companies
In 100 words or less please tell us about your company and what you offer under the umbrella of wellness tourism:
Travel Advisors
How many wellness travel bookings (including tours/retreats/programs) did you complete in the last 12 months?
What hotel/resort/destination spa/tour operator did you book for your last three clients:
Booking 1
Booking 2
Booking 3
MEDIA
In 100 words or less please tell us about yourself or your company and why you would like to be a member of the Wellness Tourism Association.
PARTNERS
In 100 words or less please tell us about what you do and why you would like to be a member of the Wellness Tourism Association.
Wellness Practitioners/Educators
In 100 words or less please tell us about yourself or your company and why you would like to be a member of the Wellness Tourism Association.
Tour Operators
In 100 words or less please tell us about yourself or your company and why you would like to be a member of the Wellness Tourism Association.
Destination Management Organizations/CVBs
In 100 words or less please tell us about yourself or your company and why you would like to be a member of the Wellness Tourism Association.
Industry Consultant
In 100 words or less please tell us about yourself or your company and why you would like to be a member of the Wellness Tourism Association.
Other Wellness Travel Professionals / Enthusiasts
In 100 words or less please tell us about yourself or your company and why you would like to be a member of the Wellness Tourism Association.
Wellness Retreats
In 100 words or less please tell us about yourself or your company and why you would like to be a member of the Wellness Tourism Association.
Other
If you do not fall under any of the above categories but would still like to be considered for membership please tell us a bit more about yourself.
NEW SIGNUP CREDENTIALS
If your application to become a WTA member is approved, you will need these credentials to access our secure database of members.
Username
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Create a Password
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Email
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Verification
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