WDS MEMBERSHIP APPLICATION
Membership Year is from January 1 to December 31
Please Circle: NEW – RENEWAL – UPDATE ONLY
Name(s)_______________________________________________
Address: _______________________________________________
City: ________________________ State: _______ Zip: ___________
Home Phone: ______________ Work Phone/Cell: _________________
Email:__________________________________________________
I am willing to receive my newsletter by email: Yes___No____
Membership Dues
Individual 1 yr. $15 ____ 3 yr. $40 ______
Household 1 yr. $20 ____ 3yr. $50 ______
Youth only (under 18) 1 yr. $5 ______
Club 1 yr. $15 ____ 3 yr. $40 ______
Make check payable to “WDS”. Please mail to: Kathy Welsh, 10803 Windcloud Ct., Oakton, VA 22124