NWSA Membership Form

Homepage NWSA Membership Form

Please make your check payable to ‘Northwest Sherpa Association’ and mail to:
Northwest Sherpa Association
PO Box 917
Mercer Island, WA 98040

Membership Type
Check Appropriate Membership category
Membership Status*
General Member
- Individual: $25
- Family: $50 (Includes Spouse and Children under 21)
Life Member
- Individual: $300
- Family: $500 (Includes Spouse and Children under 21)
Applicant Information
Name*
First Middle Last
Address*
Street Address Apartment/Unit City State / Province / Region ZIP / Postal Code Country
Phone*
Email*
Upload a photo*
Drop files here or
Emergency Contacts
Address*
Street Address City State ZIP Code
Phone*
Email*
Name
This field is for validation purposes and should be left unchanged.