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New Member Application for Washington State



First Name *
Last Name *
Is the applicant deceased?


Address Line 1 *
City *
State/Province *
Postal Code *
Include area code and dashes. Use this format: ###-###-####
I wish to receive member packet and all correspondence electronically via email.

If Email Only option is not selected, membership packet will be mailed to the address above.

Submitter Information

First Name *
Last Name *
How Did You Learn About People's Memorial?

Membership Pricing

Document Storage Service is an option for People’s Memorial members. We will scan and store an electronic copy of your Disposition Authorization and other funeral planning paperwork with your membership record for access by your chosen contracted funeral home at time of death. This service is intended for long term storage; please disregard for cases where death is imminent.

Your PMA membership covers only a portion of our education and advocacy efforts. To help us further our mission, please consider adding a donation to your membership purchase today.


Insert card number without hyphens or spaces. If you experience technical issues while signing up, please call our office at 206.325.0489 for assistance.

Credit Card Information

Your security code is the 3-digit code at the end of the signature field on your card's back.

Your total payment will be
Your credit balance will cover
Your credit card will be charged
Your bank account will be charged