Professionals in Workers’ Compensation

2012-2013 Membership Application

Membership Year: September through August

This form is off line until Thursday, July 19, 2012. If you wish to submit your membership before that date, please download our printable form by clicking here.
Thank you for your understanding.

Problems with this form? Please send us a bug report.

Please notify us if you do NOT want your contact information published in the annual PWC directory.  Send requests or questions related to the directory, including information about sponsorship, to pkconsulting@juno.com

Please continue back to the membership and complete step 2. The payment form is at the bottom of the page.

or mail your payment to:

Professionals in Workers’ Compensation
P.O. Box 4435
Federal Way, WA 98063-4435

Questions?  Please contact PWC by calling (206) 249-7922, or by using our contact webform (click here).

*Firm memberships are in groups of 3 only.  Additional members in groups of less than 3 are charged at the Individual Membership rate. Firm members may send another person (non-member) from the same firm in their place to any regular program (does not include annual banquet).