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WSCA 2024 Membership Form
Tap or Click the "Your Answer" fields on each question (as needed) before typing.
* Indicates required question
Membership Type (Please choose
only one.
)
*
Individual
Family
Membership Status (Please choose
only one.
)
*
Current Member
New Member
Former Member
Required
Primary Member Name / Names of other family members
*
Your answer
Last Name
*
Your answer
Mailing Address (Street or PO Box)
*
Your answer
City
*
Your answer
State (TX, AR, LA, etc...)
*
Your answer
Zip Code
*
Your answer
Phone Number (Please include area code)
*
Your answer
Email Address
Your answer
How would you prefer to receive correspondence? (may have to click twice for the check to appear)
*If
E-Mail
is selected, please ensure there is a email address in the above field.
*
E-Mail
Postal Mail
Required
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