Membership Form

* required field

Membership Status*
- I'm a new member
- I'm renewing my membership
- Name*
  First Last
- Address*
  Street Address Address Line 2 City State ZIP Code
- Email*
- Home Phone
- Cell Phone
- Name*
  First Last
- Email*
- My address or phone has changed*
  - No
  - Yes
- New Address
  Street Address Address Line 2 City State ZIP Code
- New Home Phone
- New Cell Phone
WSA Membership Type*
Lifetime memberships are offered to members 55+
- One Year
- Lifetime
Date of Birth
MM
DD
YYYY
Dues expire after January 1st of the fiscal year if you have not renewed.

Note: You will need to be current with your dues when you send your entries for the WSA Annual National Exhibition, which occurs after 1 January of each year.
Total Due
$0.00
Comments
This field is for validation purposes and should be left unchanged.