Online Membership Application Form

Please submit the following application to WMPF (click "Submit" at the end of the application) and mail A CHECK OR VOUCHER MADE PAYABLE TO “WMPF MEMBERSHIP” to the Westchester Municipal Planning Federation (WMPF), 432 Michaelian Office Building, 148 Martine Avenue, White Plains, NY 10601, Attention: Patricia Einhorn. You can also print out the application and mail it along with the check or voucher.

* indicates required field

CONTACT INFORMATION

Name:*

Email:*

Name of Municipality, Firm or Not-for-Profit (if applicable):

Mailing Address:*

Phone:*

Fax:*

MEMBERSHIP TYPE

Municipal ($75.00) Firm ($100.00) Not-for-Profit ($50.00) Individual ($50.00)

Note: A single municipal, firm or not-for-profit membership fee entitles all municipal staff, elected and appointed officials and all members of the firm or not-for-profit to receive WMPF’s announcements of training programs, special events and meetings, plus copies of WMPF publications.

ADDITIONAL EMAIL CONTACTS

(for municipal, firm and not-for-profit memberships)

Name2:

Email2:

Name3:

Email3:

Name4:

Email4:

Name5:

Email5:

Name6:

Email6:

Name7:

Email7:

Name8:

Email8:

Name9:

Email9:

Name10:

Email10:

Name11:

Email11:

CAPTCHA Code:*