Membership in WALWICA is $20.00 a year! The membership
year is October 1 through September 30 and dues are not pro-rated.
Please fill out the form below, print
the form and mail to WALWICA with your payment (cash
or check).
Name:
Agency:
Home
address:
City, State, Zip:
Home
phone:
Work
phone:
Email
address:
Congressional
district:
Legislative
district:
Classification:
Coordinator
Certifier
Clerk
Nutritionist, not RD
RD
RN
Membership:
Active
Affiliate
Associate
Activities
of
Interest:
Legislative
Public
relations
Fund
raising
Newsletter
Oral
health
State
meeting
Mail form to: WALWICA; 13126 NE 138th Place; Kirkland, WA 98034
