Application for Membership in the United Council on Welfare Fraud
Complete the application below. Click the PRINT button to print completed application.
Send application along with a $25.00 check or money order to:

United Council on Welfare Fraud
PO Box 778
Benton, AR 72018-0778

* = required field

Application Number: " size="6" style="background-color: #E2DEDE; font-family: verdana; color: #FF0000; font-weight: Bold;" readonly>  <= Be sure to write this number on your check.
*Your Name:
Title:
Organization:
*Address 1:
Address 2:
*City:
*State:
*Zipcode:
*Email Address:
*Phone Number: ( )      ext.
FAX Number: ( )
Referred by:

Print

Mail application and check to:
United Council on Welfare Fraud
PO Box 778
Benton, AR 72018-0778