We're looking forward to receiving your membership application and to welcoming you as a new FSANA member. Just follow the steps below to get the process started. Please allow several business days for processing and review by the current membership and keep in mind that the original, signed application and joining fee are required before new members will be added to FSANA's carrier contracts. 

Please complete the application process as follows:


1.  Download the application. 

2. Open the file when prompted or save it and open it. 

3. Complete, print and sign the application. 

4. Mail the signed application and a check for the joining fee to FSANA. 

5. To expedite the process fax the application to FSANA at (425) 458-9054. 

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Please contact us if you have any difficulty with the download process, have any questions, or require the application in a different format.