Membership Form

WCML Membership Form

Name ______________________________________________________
Mailing address  ______________________________________________
____________________________________________________________
E-mail address   ______________________________________________
Institutional affiliation _________________________________________

Dues Categories (based on salary):

$80,000+ $40
$60,001 – 80,000   $30
$40,001 – 60,000   $20
$20,001 – 40,000   $15
$0          – 20,000   $0

Send Checks (payable to WCML) to:

Roseanna Dufault
WCML Treasurer
151 S. Lawn Ave.
Bluffton, OH 45817

You can also renew online via Paypal  by clicking the “WCML Membership” button our home page at http://www.wcml.org/

Leave a Reply

Your email address will not be published. Required fields are marked *