Please provide as much information as possible. With approval of your application, the non-confidential aspects of this form will be used to fill in your member profile in our database and our membership directory.
Membership Dues: The below information will also be used to calculate your organizational membership dues. The Coalition will notify you of your organizational dues estimate prior to the full membership meeting on April 25, 2018.
If you have questions, please contact Kat Plimpton at 206-621-0094. After receiving this application, we will follow-up with you regarding next steps in the application process.