Untitled Document

Western Cooperative Test Group Membership Application Form

You can submit your application electronically or you can print out application form and return a completed copy to:

Western Cooperative Test Group
Att.: Judy Gaines
9041 South Kenwood Court
Highlands Ranch, CO 80126
Phone: (303) 471-6286 Fax: (303) 471-1133 E-Mail: judy@wctg.org

ANNUAL FEE: (Refer to WCTG Bylaws, Section I - Organization, Subsection C, Part 2, Subparts (d) and (e), and Subsection E - Members, Part 2 - Duties, Subpart (a2) for explanation.). You will be invoiced for the annual fee within 30 to 60 days.

Online Registration
TYPE OF MEMBERSHIP DESIRED: Refer to WCTG Bylaws, Section I - Organization, Subsection E -Members, Part 1 - Type, for explanation of differences in membership status.)
Participating Member Member Only Associate Only
Mailing Address:
Street Address:*
City:*	State:*
Zip:*
Shipping Address:
Street Address:*
City:*	State:*
Zip:*
Contact Information
Name:*	Title:
E-Mail*
Phone:*	Fax:

* Required Field

	WCTG	PO Box 630196 Littleton, CO 80163-0196
	Online Registration Application	PO Box 630196 Littleton, CO 80163-0196