Enroll as a Member Today!
SWPA Membership Form
Membership Types
Rates
Jan - March
April - June
July - Sept
Oct- Dec
Regular Member
$75.00
$56.25
$37.50
$18.75
Associate Member
$35.00
$26.50
$17.50
$8.75
Affiliate Member
$125 .00
$93.75
$62.50
$31.25
Front Line Staff
Student/Retiree
$12.00
$9.00
$6.00
$3.00
An invoice for the appropriate amount will be generated based on the month your enrollment form is recieved.
Personal Information
Name
Phone
E-mail
Title
Organization
Address
City
State/Provence
Country
Zip code
Payment Method...
Credit Card
Check
Click here for a printable version of this form
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