MEMBERSHIP APPLICATION
(Tax Deductible)

Name (please print)___________________________________________________

Address____________________________________________________________

City________________________________________________________________

State_______________________________________________________________

Zip code____________________________________________________________

Phone______________________________________________________________

Fax________________________________________________________________

Email ______________________________________________________________

1. Annual dues $25
2. Senior/Student $15
3. Corporate $50
4. Gold Leaf Sponsor $500

Please mail your application with a check or money order to:

WHTPS,
1044 Harper Avenue,
West Hollywood,
CA 90046

Copyright © 2001WHTPS. All rights reserved.
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