Annual Membership Application

                                              

First name:
Last Name:
Date of Birth
Email Address:
Department:

Department Phone:
Cell Phone:
Dept.  Address:
Job Classification (fulltime LE, fulltime Corrections, Reserve etc):
Payment Type (Check, or online payment)   $30 to be mailed to WSLEFIA 2839 West Kennewick Avenue, Suite #303 Kennewick, WA 99336