Wisconsin School Social Workers Association
Please print out this form and mail to:
         Melani Ryan Lindbeck
         217 N. Prairie Ave.
         Waukesha, WI   53186
Name
Address
City
State
Zip
Phone
E-Mail
School
School Address
School Phone
City
State
Zip
WSSWA Membership Category
Contributing $55
Regular $45
Retiree $25
Students $15
Special WSSWA Membership Discount
Join for 2 Years at Reduced Rates
Regular $75
Retiree $40
SPONSOR a new member and take a $10 discount! Applications must be sent together. I am sponsoring:
Name of social worker sponsoring 		 
Total Enclosed:  
Please print out this form and mail to:
         Melani Ryan Lindbeck
         217 N. Prairie Ave.
         Waukesha, WI   53186