| Find out why YOU should belong to WCRC |
Officers |
| Program | Membership Form |
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Please print out this page and send it to the address below.
Name: __________________________________________________________
Address: _________________________________________________________
City, Zip: ________________________________________________________
Home Phone: ______________________________________________________
School: ___________________________________________________________
District: ___________________________________________________________
Position: ___________________________________________________________
Work Phone: _______________________________________________________
e-mail address: ______________________________________________________
IMPORTANT INFORMATION
Please check if you are a member:
Are you a member of WSRA? __________
WSRA Number ____________ Exp. Date ________
Are you a member of IRA? ____________
IRA Number _______________ Exp. Date ________
Are you a new member of IRA within the past 6 months?
YES __________ NO ___________
| Regular Membership: $10.00 | Student Membership $8.00 |
| Faculty member's signature (*Required for student membership.)
________________________________________________ |
Amount enclosed: ___________
Send this form and check made out to WCRC to:
WCRC
| Find out why YOU should belong to WCRC |
Officers |
| Program | Membership Form |
|
|
|
|
|
|
