Member Application

Member Application

Membership with PSHFES is based on a calendar year (January 1st - December 31st). PSHFES does not share or release any member information.

Please complete all of the information below.

Type of application (please check one below) New* Full Member Renewing Full Member New Student Member Renewing Student Member
*First Name:	*Last Name:
*Job Title:	*Company:
*Primary E-Mail: (this E-mail will be used for PSHFES correspondence)	*Alt E-mail:
*Business Phone:	*Home Phone:
*Fax:
*Business Address:	*Home Address:
*City:	*City:
*State:	*State:
*Postal/Zip:	*Postal/Zip:
*Country:

Don't forget to "PRINT" this form before submitting if you're sending your dues by check! Please mail the printed form to our treasurer at the address shown below.

PSHFES Treasurer
Gary Davis
11126 55th Ave W
Mukilteo, WA 98275-4802
treasurer@pshfes.org

If you prefer to pay your dues online via Paypal, this option will be available when you click on the "Submit" button below.

Thanks!

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