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
1401 100Th Street

S. Tacoma, WA 98444