Please print the membership application below and mail to:

Partners of the Americas
P.O. Box 1017
Seattle, WA 98111-1017

I am interested in becoming a NEW PARTNER or RENEWING a past Washington Chapter membership.

Student-$10		Business/Professional-$100
Individual-$30		Corporate/Institutions-$250
Family-$60		Patron-$500 or more

Committee or Topic Area Interests:

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Name:

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Address:

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City, State, Zip:

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Home Phone:

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Business Phone:

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Fax:

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E-mail:

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Membership for Year:

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Date of Application:

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For more information, please contact: Bill Zachmann, Olympia
Phone: Evenings/wknds (360) 357-8728.

Paula Laschober, Seattle
Phone: Evenings/wknds (206) 363-7474; weekday phone (206) 684-3957.

Susan Sola, Seattle
Phone: Evenings/wknds (206) 860-7594; weekday phone (206) 285-3500.