Watt Collectors Association Membership Application
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Annual membership dues for the Watt Collectors
Association are $20 a year per person.
We welcome any number of memberships within a household. Dues are payable yearly at your
anniversary date, which is shown on your mailing label. Payment of dues extending membership for
more than one year at a time cannot be accepted. Please fill in this form completely, print it, and then send it along with your personal check (made out to WCA) or money order to the address at the bottom of this form. |
Kindly chose one (or more) or the following by checking the
box immediately before it:
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NEW
Membership(s) |
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RENEWAL
Membership(s) |
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Change Request |
Address
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City
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Telephone |
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Evening |
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Email Address |
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Name(s) (Primary
First) |
New Y/N |
Membership Number (Renewals) |
Newsletter (Yes/No) |
Email Address(if different than household) |
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Yes |
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Primary members shall automatically receive the quarterly newsletter Watt’s News. PLEASE be sure to enter valid (non-work related) email addresses, as this is the preferred method of communication. By completing this form and signing it below, you agree to respect and adhere to the membership guidelines set forth in the Watt Collectors Association By-Laws. (A copy of Current
WCA By-Laws is available upon request). |
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Total
Number of Annual Memberships (listed above) @ $20 each |
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Total
Amount Enclosed $ |
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($25 fee for returned
checks!) |
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Primary Member’s
Signature |
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Date |
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Mail Completed Form and
annual dues to:
Watt Collectors AssociationP.O. Box 253 Sussex WI. 53089-0253 |