Form
Washington State Association of Parliamentarians
Event Registration
Event Date
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Name
*
First Name
Last Name
Unit name / Member at Large
Please Select
EastSide Parliamentary Law Unit
Evergreen Research Parliamentary Law Unit
Inland Northwest Parliamentary Law Unit
Point of Order Parliamentary Law Unit
< Member at Large >
Check all that apply:
Member
RP
PRP
RP-R
PRP-R
Provisional
Honorary
CP
CPP
CP-T
CPP-T
CP-R
CPP-R
Guest
State Officer
State Committee Chair
Unit President
Past State President
NAP Officer
District Director
Past NAP President
Other
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Home Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Work Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Cell Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Email
example@example.com
Submit
Should be Empty: