Mail-In
Membership Application
|
Mail-In |
| JOIN NOW TO RECEIVE OUR QUARTERLY NEWSLETTERS AND A $20.00 DISCOUNT ON EACH OF OUR QUARTERLY TRAINING WORKSHOPS! |
| Membership dues: | $35.00 per individual or
$125.00 per organization (includes five memberships) |
| Organization ________________________________________________________ |
| Name ______________________________________________________________ |
| Title _______________________________________________________________ |
| Phone __________ Fax ____________ Email ____________________________ |
| Address ____________________________________________________________ |
| City _______________ State __________________ Zip Code _______________ |
Additional Members: $35.00 each
| Organization ________________________________________________________ |
| Name ______________________________________________________________ |
| Title _______________________________________________________________ |
| Phone __________ Fax ____________ Email ____________________________ |
| Address ____________________________________________________________ |
| City _______________ State __________________ Zip Code _______________ |
| Organization ________________________________________________________ |
| Name ______________________________________________________________ |
| Title _______________________________________________________________ |
| Phone __________ Fax ____________ Email ____________________________ |
| Address ____________________________________________________________ |
| City _______________ State __________________ Zip Code _______________ |
| Total
number of members: ______ Amount of membership dues enclosed $ ______________ |
Please return this form to: The Inland Northwest Partners * P.O. Box 164 Liberty Lake, WA 99019 * (509) 495-4064 |