MEMBERSHIP / RENEWAL FORM
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Please print out and mail with dues to address below, or email information to mcherkasky@verizon.net. 

(Please print)

Name:   ____________________________________________________________________

Address:  ___________________________________________________________________

City State Zip:  _______________________________________________________________

Phone(s):  ___________________________________________________________________

Email:  ______________________________________________________________________

Date:  _______________________________________________________________________

Please indicate if you wish to be included in the WMAS Directory:

Address: __Yes __No

Telephone: __Yes __No

Email: __Yes __No

Write check payable to WMAS ($20 for an individual membership or $30 for a family membership).

Mail completed form and payment to WMAS Membership, Mara Cherkasky, 603 Rock Creek Church Road, N.W., Washington, D.C. 20010.