Thank you for signing up as a Standard Member! Please use this form to provide us with your organization’s information. We will use this to build your listing on our website. Organization Name* Contact First Name*This is the name of the individual who SWITA will contact for placement opportunities, specials, and social media posts. Contact Last Name* Email*This is the email address CUSTOMERS will use to ask for more information about your organization. Phone*This is the phone number CUSTOMERS will use to call for more information.Address*This is the address CUSTOMERS will go to to visit your organization. Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Organization Description*This is the description for CUSTOMERS to read and learn more about your organization.Organization Logo and Photos*Please upload your organization's logo and any photos you have that help describe your business. This could be a building photo, interior shots, product shots, or service experience. Drop files here or Select files Accepted file types: jpg, gif, png, pdf, eps, psd, Max. file size: 50 MB. CAPTCHA Δ