Wisconsin Parents Association
Post Office Box 2502
Madison, WI 53701-2502
Voice Mail 608-283-3131

WPA Membership/Handbook Order Form

Use this online form to join WPA, renew a membership, order handbooks and/or make a donation to WPA. Thank you for your support of WPA!

If you prefer, you can call the WPA voice mail at 608-283-3131 and ask a WPA representative to call you so you can use your credit card to place this order. Or, you can mail a check or your credit card information to WPA, P.O. Box 2502, Madison WI 53701-2502.

1. Contact information

First person’s first name

First person’s last name

Second person’s first name
(optional)

Second person’s last name
(optional)

Address

City

State

Zip code

Phone # with area code

E-mail (optional*)
* Provide if you wish to be added to WPA’s e-mail notification list

2. Membership (check one)

I am a current member
Please sign me up for a new membership for one year ($30)
Please renew my membership for one year ($30)
I do not wish to join at this time

3. Handbook and donation

Send me copies of the WPA Handbook

Member price: $22.95 + $4.00 shipping = $26.95
Non-member price: $29.95 + $4.00 shipping = $33.95

Here is my tax-deductible donation of $

First person’s first name
First person’s last name
Second person’s first name (optional)
Second person’s last name (optional)
Address
City
State
Zip code
Phone # with area code
E-mail (optional*)	* Provide if you wish to be added to WPA’s e-mail notification list