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Online Membership Application

Company Name:
Contact:
Address:
City:
State:
Zip:
Phone:
Fax:
Website:
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Referred by:
Primary Operation:	(Sawmill, Remanufacturer, Distributor, Logger, Timberland Owner, Other - Please describe as you would like to be registered)
	Type of Membership: Gold Member, full voting membership ($1000 annually) Full voting membership ($550 annually) Affiliate member ($350 annually) First time membership($150 first year) Small woodland owner($50 annually)
	Would you like us to: Please invoice Accept payment now Send more information about WHA