WEDSA Membership Form
To apply for membership please complete all questions.
Name
*
First Name
Last Name
E-mail
*
example@example.com
Phone Number
*
Billing Address
*
Mailing Address
Street Address Line 2
City
State / Province
Postal / Zip Code
My Products
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Membership
Any student under the 18 years of age
$
10.00
Membership
Any individual, business or governmental agency within the West End of Montrose County
$
30.00
Affiliate Membership
Any individual, business or governmental agency outside of the West End of Montrose County
$
30.00
Credit Card
Note to WEDSA...
If you are interested in making a tax deductible contribution, please let us know and we'll contact you.
Submit
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