Washington Conference WIM Dues Form
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Please select the year(s) to apply dues *
Title ( check all that apply) *
First Name *
Last Name *
Address *
City *
State *
Zip Code *
Primary Email *
Cell Phone Number *
Home number *
Please check if you are a new WIM member
Church Affiliation *
Select your Elder District *
Please select your level of WIM membership *
Below is a list of dues amount based on type of membership
No response needed in this section, the list is for your information
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Total Amount Paid *
Please select from the payment options below. NOTE: If paying by PayPal or Cashapp there is an additional $3 processing fee. You must add this fee to your total payment *
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