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WDTL Membership Application and Renewal
Current WDTL Member? *



Membership Information
First Name *
Middle Name or Initial(s)
Last Name *
Firm Name *
Firm Address1 *
Firm Address2
City *
State *
ZIP Code *
Work Phone *
Work Fax
E-Mail *
Used for member communications and list-serv subscriptions.
WSBA Bar # for CLE Records
Year of Admission to WA Bar
OSBA Bar # for CLE Records
Washington State Legislative District (1-49)
To find your legislative district click here.
Referred By
Please complete if you are a new member.
Assistant's Name
For drawing

Membership Dues 2016-17 *




Suggested Membership Options
I understand that pursuant to Public Law 103-66, the legislative portion of my annual WDTL dues is not deductible from federal income taxes as a business expense.
Additional Legislative Program contribution


Payment Information
Credit Card Type *
Credit Card Number *
Exp Month *
Exp Year *
CSV Number *
MC/Visa: last 3 digits on card back; AmEx: 4 digits on card front
Cardholder Name *
(as it appears on card)
Billing Address *

Sections
YES! I would like to join the following sections. *   













Volunteer for WDTL
YES! I would like to serve on the following WDTL Committees. *













* For communication with the respective Section and Committee chairperson and members, I understand that I will subscribe to the selected Sections' and Committees' lists.
Diversity (optional)
WDTL is committed to the principle of diversity in its membership and leadership. Accordingly, applicants are invited to indicate which of the following may best describe them:
Gender
(optional)

Acknowledgement *