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Application for Membership

In the Escrow Association of Washington, Inc 2011-2012
Membership begins October 1, 2011 valid through September 30, 2012

This form may be used to apply for individual membership in any Regional Association. If you are an individual that would like to join more than one Regional, contact jan.grant@comcast.net for more information on additional savings.

Please complete this on line form and then hit SUBMIT which will give you a confirmation OR if you wish to print it out and mail it please mail it to EAW, PO Box 1912 Milton, WA 98354. If you have any questions, contact Jan Grant at 253-864-3537 or by email at jan.grant@comcast.net.

Renewal or New Membership? Please pick one *
Renewal... I will pay online Renewal... I will pay by check New Member... I will pay online New Member... I will pay by check

Please select one based on renewl or new member AND how you are going to be paying for the membership
Select the Escrow Assn Regional you wish to join or renew your membership in *

Click on down arrow and choose one Regional from list
Name * First Last
Email *

Please CLICK on the Submit button. You will receive a confirmation page. Follow instructions on confirmation page to pay for your registration.
Company Name *

If you are not at at company please put NONE
Mailing Address *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Phone Number * ### - ### - ####
LPO #
Legislative District #

To find yours go to http://apps.leg.wa.gov/districtfinder/default.aspx
Type of Membership requested *

**This membership requires that your company be a member of the Escrow Association of Washington. Please contact Jan Grant to verify that your company holds company membership prior to paying this rate. To set up a company membership, pay the company fee of $375, which includes the required first individual membership at $140. Subsequent employees of that company receive the reduced rate of $100 each. For more information on company membership, contact Jan Grant at 253-864-3537 or by email at jan.grant@comcast.net.
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