Membership Application

You may also download the print copy, which must be completed and mailed with a check for dues to: WSTA, P.O. Box 1102, Silverdale, WA 98383-1102

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  • If you selected "pay by check" and payment is not received within two weeks of application, your materials will be discarded. 

Existing members/renewals: click here to renew your membership. Please note: Renewals 30 days after expiration will be charged the new member rates. 

 

 Membership Type 

Individual ($75/yr) Individual ($140/ 2 years)Individual ($195/ 3 years)

Business ($250)  Bronze Corporate Sponsor ($500)Silver Corporate Sponsor ($1000) Gold Corporate Sponsor ($2500) Platinum Sponsor ($5000)Other  

Contact Information
Mandatory field titles are in bold  
Name
Company (enter N/A if not applicable)
Title (enter N/A if not applicable)
Phone number (include area code use format nnn-nnn-nnnn)
Fax number (include area code)
Street address
City/State/ZIP  
E-mail address  

If applying for Business or Corporate membership, who will be the individual members?

Website/URL
Education and Certifications
How Did You Hear About Us? If WSTPA member, who?
Tell us about yourself,  description of products and/or services (Narrative) - 250 characters max  
List Industry Areas of Experience/Skills (Networks, Programming, etc. use industry specific acronyms where appropriate)
     

I am interested in hosting\co-hosting Special Interest Groups (SIGs) for topics that I have listed above

I am interested in joining the following Working Groups:

Please add me to the WSTA Member Listserv for announcements regarding upcoming general or special interest events

 

Agreement (required):

I hereby apply for an annual membership in the West Sound Technology Association (WSTA), agree to comply with its bylaws, rules and regulations, and to pay annual dues in the amount as set forth above. Enter 'Agree" exactly as spelled in the field to the right   

   
Payment Method Select one:

Check (Mail to: WSTA, P.O. Box 1102, Silverdale, WA 98383)

via credit card (you will be directed to the payment page after clicking Submit)

 

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