Become a Sustaining Member

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Personal Details

*First Name

*Last Name

*Street 1

Street 2

*City

*State

*Zip Code

*Daytime phone

*Email

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What is your favorite program?

Employer

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Electronic Funds Transfer

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Bank Account Number

Savings Account?

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Electronic signature

To confirm you have read our EFT Policy and agree to ongoing bank debits, please sign above in the format of /First Last/

Credit Card Information

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Let us know what WTCI means to you

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