WSATF Membership Application

Washington Staff Assault Task Force
All Rise. Court is in Session.

MEMBERSHIP APPLICATION

I hereby make application for membership in the Washington Staff Assault Task Force (WSATF), and authorize the State Controller to deduct from my salaries and wages the amount specified now or in the future for membership dues. This authorization will remain in effect until canceled by me or the organization at my written request.

I certify that I am a member of the above named organization and understand that termination of membership will cancel all deductions made under this authorization.

For more information, please review the WSATF Web site Legal Notice and Privacy Policy.

Please fill out the following information and press the JOIN NOW button.
(All blanks are required. The is a secure web page.)

First Name
Last Name
Email Address
Address
City, ST, ZIP
Social Security #
Classification
Institution
MONTHLY DEDUCTION