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Washington Industrial Technology Education Association


Membership Application

Name Home Phone
Home Address City State Zip
Place of Employment Work Phone
Work Address City State Zip
 
(Circle One)

Student member ..................... $8

New Member .......................... $25

Renewal ................................ $25		 Print out and complete this form, make your check or purchase order out to WITEA. Mail to...

Nelson, Jim
Blaine High School
1055 H Street
Blaine, WA 98230
 
  ©2007-08 WITEA
Last modified: October 31, 2007