MEMBERSHIP APPLICATION

APPLICANT INFORMATION

Name:___________________________________________________________

Current address:___________________________________________________

City: State: ZIP Code:_______________________________________________

Current employer:__________________________________________________

Phone: E-mail: Fax:________________________________________________

Date of birth: Phone:________________________________________________

REFERRED BY

Name:___________________________________________________________

HOW DID YOU HEAR ABOUT US:  Friend [ ] Relative [ ] Association Event [ ]

Signature of applicant: _______________________________________________

Date:_______________________

Fill out and print, mail with $25.00 annual membership fee to
PRAWS
PO BOX 98255

Lakewood, WA 98426