23607 Highway 99, Ste 2C • Edmonds, WA 98026
Phone: (425) 967-0729 • (800) 833-2186
Fax: (425) 771-9588 • info@walp.org

2009 WALP Membership Application
(Revised 4/3/09)Company Information • Please Print Or Type


Firm Name

Address

City State Zip

E-mail

Owner/Principal Officers

Contact Person

Phone Fax

Cell Phone URL

WA State Contractor’s # UBI Tax #

Name of Person That Referred You To WALP

Business Specialties
Please Check All That Apply

q Residential q Commercial q Landscape Architect
q Landscape Maintenance q Landscape Installation q Design/Build
q CLT q CLP q Award Winner


I certify to the best of my knowledge that the above information is correct, and I agree to abide by WALP’s Code of Ethics.

Signature Date