WSMC--Membership Form

Washington State Mathematics Council

Membership Application

The strength of any organization lies in diversity, dedication, and the commitment of its members to the organization. Join other forward-looking mathematics educators whose goals include the promotion and improvement of mathematics education. Please take a few moments from your busy schedule to join WSMC or to encourage your colleagues to become part of our organization.

Membership information:

1-Year Dues

$25.00
______

2-Year Dues

$45.00
______

3-Year Dues

$65.00
______

Retired teacher (one-year)

$15.00
______

Student (one-year)

$15.00
______

Parent (one year)

$20.00 ______

Rita Lowe Mathematics Scholarship donation

This fund provides college scholarships for students preparing for a career teaching mathematics.
______

**Membership information**:
1-Year Dues	$25.00	______
2-Year Dues	$45.00	______
3-Year Dues	$65.00	______
Retired teacher (one-year)	$15.00	______
Student (one-year)	$15.00	______
Parent (one year)	$20.00	______
Rita Lowe Mathematics Scholarship donation This fund provides college scholarships for students preparing for a career teaching mathematics.	______

Name:

Address:

City: State: Zip + 4:

County of residence: WSMC renewal (Y/N)?

Email address:

Phone (home): Phone (work):

School name: Level:

District Name: NCTM member (Y/N)?

Please print this form, fill it out, and send it to

Paula Paris
30152 12th Ave. SW
Federal Way, WA 98023-3409
pparis@fwps.org

Make checks payable to WSMC (no purchase orders, please).

Name:
Address:
City:	State:	Zip + 4:
County of residence:		WSMC renewal (Y/N)?
Email address:
Phone (home):	Phone (work):
School name:		Level:
District Name:		NCTM member (Y/N)?