Logo: Vegetarians of Washington
                    Membership Form

Via Post: Print this form, fill out, and mail with payment (check or credit card) to:

Vegetarians of Washington
15100 SE 38th St - #820
Bellevue, WA 98006

Via Fax: Print this form, fill out, and fax to 425.603.0813 (credit card payment only).

I/We wish to join Vegetarians of Washington. I/We enclose:
I/We wish to renew our membership with Vegetarians of Washington. I/We enclose:

$22 (Individual)      $35 (Family)      $50 (Supporter)      $100 (Patron)




City:_____________________________________ State:______ Zip:__________________

Home Phone:_______________________ Work Phone:_________________________


Do you wish to receive a free subscription to the Vegetarian Times?
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This will be sent to your address nine times per year.
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Paying by Check: Please make checks payable to: Vegetarians of Washington

Paying by Credit Card: Mastercard®      Visa®

Card #:_______________________________________________ Expires:___________

Zip code if different from above___________________________________________3-digit security code ____________

Signature:_____________________________________________ Today's Date:________________

Vegetarians of Washington are a 501(c)3 non-profit organization. We do not share your information with anyone else without your prior permission.