Membership Form

WIAC Membership Application

Please note that the required fields are applicable to all membership levels. The non-required fields are for Family or Business memberships only.

* Indicates required field

Name 1 *

First

Last

Primary Email *

Primary Phone # *

Street Address *

Address, City and Zip Code *

MEMBERSHIP LEVEL *

Individual - $50 Family/Youth - $75 Business - $125

Name 2 *

First

Last

Name 3 *

First

Last

BUSINESS NAME *

Website URL *

Please contact me regarding *

Volunteer Opportunities Board Membership No need to contact me Other

Submit

2024 GRANTEE

PO Box 197, Greenbank, WA, 98253
[email protected]
WIAC is a non profit 501(c)(3) organization (91-1147736)
All donations are tax deductible.

In compliance with Washington State law, WIAC and its umbrella organizations shall not discriminate against a person on the grounds of race, color, sex, sexual orientation, gender identity, religion, national origin, creed, marital status, age, the presence of any sensory, mental or physical disability, honorably discharged veteran or military status or the use of a trained dog guide or service animal by a person with a disability.

This website is updated regularly. Contact [email protected] with comments.
Last update - March 10, 2025