Membership Name Change Request


PSBTA Memberships do not belong to the individual. The Membership belongs to the company that originally sponsored the membership. Please fill out the following sections to make a membership name change request.

If you have additional questions, please email [email protected].

Change fee is $25.00. If paying by check, please note that memberships are not confirmed until checks are received. 

Send checks payable to "PSBTA" with member name to:

Karen Beauchamp, Treasurer
PO Box 55365
Shoreline, WA 98155

Former Member Information

  Allied Member
  Direct/Corporate Member

Person Making the Name Change Request