Membership is easy! Simply print out this page, fill in the appropriate blanks, and mail with a check to:

Polish Home Association, 1714 18th Ave, Seattle, WA 98122 

 

Name

 

Street

 

State-Zip

 

One-time signup fee - new members only

$25.00 

 

Membership category (Newsletter included); check one:

Single

$40.00

Family

$60.00

Lifetime

$600.00

Individual - Retired

$20.00

Family - Retired)

$30.00

Non-Member Friend of the PHA, newsletter only

$10.00

 

 

This is a gift membership from:

 

Phone

 

I'd like to make one time contribution in the amount of:

$

 

Make checks payable to: PHA