Wimbledon Village Business Association membership application form Name of businessTrading nameAddress Street Address Address Line 2 City County / State / Region ZIP / Postal Code First contact name First Last Second contact name First Last Phone numberFaxEmail WebsiteType of businessBusiness Profile(e.g. a short paragraph describing what your business does for the website. Please also supply an image for the WVBA web-site)Do you have an image to go with your business profile? Drop files here or Terms and conditions*I AGREE TO THE TERMS AND CONDITIONS AND CAN SAY THAT THE INFORMATION PROVIDED IS TRUETerms and condionsYour data*We take your privacy seriously and will only use your personal information to provide you the services you have requested from us. Your data will never be shared with third parties. However, from time to time, we would like to contact you with details of other products/services we offer. If you consent to us contacting you for this purpose please select below how you would like us to contact you.EmailTelephonePlease do not contact me for any other purpose MEMBERSHIP PAYMENT Please pay for £120 for your membership here.