BECU : Hidden Membership Forms : HIDDEN Membership Forms : Membership : People's Memorial Association

BECU need to join PMA

First Name * (Required)

Middle Name

Last Name * (Required)

du277h4qdwv7

Gender

Birth Date * (Required)

mm/dd/yyyy

(Optional) SSN-Last 4 Digits Only

####

Is the applicant deceased?

Applicant Contact Information

Care of (if not applicant or partner)

c/o

Mailing Address (Required)

City (Required)

State (Required)

ZIP Code + 4 (Required)

Member Phone Number (Required)

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.

Email (Required)

Submitter Information

Submitter First Name (Required)

Submitter Last Name (Required)

Submitter Phone (Required)

Submitter Email (Required)

Relationship to Applicant

Membership

Purchase Lifetime Membership (Required)

Discounted price of $35 per person or family member for lifetime membership in both PEOPLE’S MEMORIAL Association (statewide) and The Co-op Funeral Home of People's Memorial

DIGITAL DATA VAULT is an optional People’s Memorial service for scanning and storing an electronic copy of your Disposition Authorization and other funeral planning paperwork for access by your chosen contracted funeral home at time of death.

Purchase Document Scanning

Your PMA membership covers only a portion of our advocacy and education efforts.. To help us further our mission and ensure all Washingtonians have compassionate end of life options, please consider adding a fully tax-deductible gift to your membership purchase today.

Contribution Amount

Payment

Credit Card Information

Cardholder Name (Required)

Credit Card # (Required)

Expiration Date (Required)

Security Code (Required)

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

Billing Zip Code (Required)

Your total payment will be

Your credit balance will cover

Your credit card will be charged

Your bank account will be charged

No hyphens or spaces

If you experience technical issues signing up online,
please call our office at (206) 325-0489 for assistance.

For Office Use Only

Constituent Type (Required)