Membership Re-Affirmation/Renewal Membership Re-Affirmation/Renewal 2016-2017 Complete this form to reaffirm your commitment to membership at WFMCC! Your Name Date you joined WFMCC (approximate, or just the year) Do you wish to affirm/renew your membership with WFMCC? yes not now Please provide your current address for updating our records... Street Address Address Line 2 City Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming State ZIP Code Please provide your primary contact phone number. Your primary email address... Check all that apply... Ok to Text me Ok to Call me Ok to Email me * Confirm you are human!