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The Wisconsin School Resource Officers Association

The Wisconsin School Resource Officers Association

Membership Form

(Please complete this form by typing in your information, then print out the form and mail or fax it to AWSA with your payment or purchase order)

Title Mr. Mrs. Ms. Miss  Other
First and Last Name  
Title  
Agency  
Mailing Address  
City/State/Zip  
Business Phone
(with area code)		  
Fax Number
(with area code)		  
Email address  

Preferred mailing address (check one):   School    Home

Home Address  
City/State/Zip  
Home Phone
(with area code)		  
   

Please register me for the WSRO e-newsgroup
I'd like to become more involved with WSROA - please contact me about opportunities.

Individual annual membership dues are $25.00 (January 1 through December 31). Complete this form and send with payment to the address below.

For information, contact Tina Hogle at 608/241-0300

Method of Payment:
 check (made payable to AWSA)
credit card
purchase order (copy attached)

Master/Visa Card Number: - - -
Expiration Date (mm/yy): /
Signature:

Return this form and payment to:
AWSA
4797 Hayes Road, Suite 103, Madison, WI 53704–3288
Phone: (608) 241-0300  ~  Fax: (608) 249-4973

4797 Hayes Road, Suite 103, Madison, Wisconsin 53704-3288 Phone: 608/241-0300 ~ FAX: 608/249-4973 ~ Email AWSA

Affiliated with the National Association of Secondary School Principals, National Association of Elementary School Principals,
National Association of Federal Education Program Administrators, Wisconsin School Administrators Alliance, and Wisconsin Association of School Councils.