Questions? Please contact the Membership Chair, Michael Anderson, at mem@wali.org

Use this form to renew your WALI membership.

Please complete the following:

  Name:
  Agency Name:
  City: State: ZIP:
  Business Phone:
  Email address:
  Agency License Expiration Date:        
  Individual License Expiration Date:        
             
  Please note if there have been any changes in your contact information:
   

 

The annual dues for all membership types is $100.00.

       
  If paying by PayPal, click: to send this form to us and proceed to the PayPal site
       
  If paying by check, click:

Print This Form

 and send with your check to:
WALI
6351 Seaview Avenue NW
Seattle, WA 98107-2664