Application/Renewal for WAPAF Membership
Complete the application below. Click the PRINT button to print completed application. Wisconsin Association on Public Assistance Fraud (If you attended the WAPAF Conference, your membership fee was included in the conference fee.) To make changes to current memberships, simply print and mail. No additional money is needed. * = required field Type of Application (Place an "X" in the appropriate block below) Mail application and check to: Wisconsin Association on Public Assistance Fraud <BACK> to WAPAF Home Page
Send application along with a $10.00 check or money order for new memberships or renewals to:
Human Services Economic Support
Sandra Wiggins
1605 University Avenue, Suite B
Marinette, WI 54143-4132
*Your Name:
Title:
Organization:
*Address 1:
Address 2:
*City:
*State:
*Zipcode:
*Email Address:
*Phone Number:
(
)
ext.
New Membership:
Renew Membership:
Change Report:
Referred by:
Human Services Economic Support
Sandra Wiggins
1605 University Avenue, Suite B
Marinette, WI 54143-4132