WSMPA Application for Membership

WSMPA Application for Membership
26712 Howard Chapel Drive
Damascus, Maryland 20872

Phone 301-466-7747
Dues / Type of Membership (please choose type of membership applying for)*
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Regular Membership - Annual Dues
$375.00 Quantity



Associate Membership - Annual Dues
$187.50 Quantity



Unaffiliated Associate Membership - Annual Dues
$187.50 Quantity



Total

$0.00
Type of membership you are applying for

Regular MembershipAssociate MembershipUnaffiliated Associate Membership
Name*

First NameLast Name
Name as it should appear on your WSMPA Badge
Sponsored by*
Company
Business Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email*
example@example.com
Business Phone*
Please enter a valid phone number.
Mobile Phone*
Please enter a valid phone number.
Home Phone Number
Please enter a valid phone number.
Fax
Please enter a valid phone number.
Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Date of Birth

MonthDayYear
Date
Licenses
WSSC
Maryland
District
Other
Business References
1.*
2.*
3.*
Have you been found guilty of any uncorrected plumbing violations in W.S.S.C. or other jurisdictions?*
If yes, please explain.
Mail check for dues to:

WSMPA, Inc.
Attn: Membership Committee
26712 Howard Chapel Drive
Damascus, MD 20872

Note: If an applicant applying for regular Membership is other than a sole proprietor, please submit proof of ownership. Mail it to WSMPA, Inc. at 26712 Howard Chapel Drive, Damascus, MD 20872.

I solemnly pledge myself, so long as this does not conflict with my civil or religious liberty, not to divulge any of the proceedings of this Association to any other than a member of the Washington Suburban Master Plumbers Association, Inc.

I solemnly pledge myself, further, to perform all plumbing work in strict accordance with the Plumbing Code regulating such work in the Sanitary District involved and, also, in accordance with the practices as determined by the master plumbers of this Association to be in the best interests of public health and sanitation.
Should be Empty:

WSMPA Application for Membership

Licenses

Business References