Membership Dues are for the calendar year 2010.
Print this page and send the form and a check to:
WSPA
5119 136th ST SW
Seattle, WA
98026
Name: ___________________________________________________
Address: _________________________________________________
City: _____________________________________________________
State: ____________ Zip: ___________________
Airplane: N#: _______________Type: ________________________________
Bus: ________________________Home: ___________________________
Email address is neccessary for communications
_______________________________________________________________
________Memberships @ $25 ea
=
$ ______________
________Banquet Tickets members and guests @$35/ea $_______________
________ Banquet Tickets for NON members
@$45/ea $_______________
Open Water Legal Fund
Donation: $
_______________
TOTAL:
$ ________________
Please make check payable to: WSPA