Dues/Payments/Donations

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