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Thank you for your interest in joining WELLCOM as an Employer Member! Please complete the form below and submit it to become a WELLCOM Member.  If you have any questions, please contact Justin Holes at 402-934-5795.

If you are interested in becoming a Vendor Member, click here.

 

Please tell us a little about your organization and wellness program.

How would you describe your program?

Employer Size Annual Membership Dues Associate Membership Dues
1 to 100 $500 $250
101 to 300 $850 $425
301 to 600 $1,450 $725
601 to 1,000 $2,700 $1,350
1,001 + $3,600 $1,800

Non-profit organizations receive a 20% discount. Associate Memberships are available for organizations located outside of Nebraska and the Greater Omaha Area.

Membership Category
Associate Memberships are for organizations located outside of Nebraska and the Greater Omaha Area
Membership Dues - For-profit
$
Membership Dues - Non-profit
$
Associate Membership Dues
$

Payment Option
Credit Card Information
Visa MasterCard American Express Discover

Visa®, Mastercard® & Discover® cardholders
Your security code is the 3-digit code at the end of the signature field on your card's back.

American Express® cardholders
Your security code is the 4-digit code located above the actual credit card number on your card's front.

Your total payment will be