Washington Federation of Animal Care and Control Agencies - Member Application

* First

* Last

Title

* Company

* Business Address

* City

* State

* Zip

* Phone

* Email

* Please choose your member type

Small Organization Up to 10 employees - $50
Medium Organization 11-20 employees - $125
Large Organization 21-50 employees - $175
Extra Large Organization 51+ employees - $200
Affiliate membership - $75
Individual membership - $12.50 per person (restrictions apply)

* Are you a government agency?

Yes
No

* Prospective members are required to be sponsored by a current WaFed member. Please list the name of your sponsor. Please list the name of your sponsor. (Note that if you are a government agency, you do not need a sponsor.)

* Prospective members are required to be sponsored by a current WaFed member. Please list the email address of your sponsor Please list the email address of your sponsor (Note that if you are a government agency, you do not need a sponsor.)

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Member Application - Partial Year