Local Associate Application
Application to become a local associate of
A&WMA - Lake Michigan States Section
. If you are interested in a full A&WMA membership, you can join at
and you will automatically be a local member (no action is needed here).
How did you hear about A&WMA-LMSS? Who can we thank?
Why are you joining? (check all that apply):
Local Associate fees are non-refundable and are due annually on the anniversary date of application. This application must be completed in its entirety.
Local Associate (includes Government Employee)
$50 One Year
Local Young Professional Associate*
$40 One Year
Local Full-time Student Associate
$20 One Year
Optional Stephen Rothblatt Scholarship (enter a donation amount)
This is a renewal application.
*This membership is designed for younger professionals (under 35 years old), and includes all of the benefits of a Local Associate Member at a reduced rate.
To: Lake Michigan States Section A&WMA
11 Pleasant Hill Blvd.
Palatine, IL 60067
Check Memo: Local Associate -
-- OR --
Credit Card or Direct Withdrawal
(You will get a confirmation e-mail of this application.)
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