MEMBERSHIP APPLICATION

                    METROPOLITAN WASHINGTON CHAPTER

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First Name                       

Last Name                       

Governmental Agency      

Position/Title                     

Address                           

Address 2                        

City                                  

State                                 

Zip                                   
E-Mail                             

Telephone                        

Fax                                  

Are you a member of NIGP National?

Certifications held:

CPPO   CPPB   CPM   Other

    I agree to the payment of current Chapter dues either individually or through my Governmental Agency in accordance with the By-Laws of the Chapter.

Incomplete applications will not be processed.

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