Join or Renew Now

Individual Membership Reply Form

YES! I want to become a member of the World Affairs Council of Philadelphia

Required fields are marked by an asterisk (*). Please be sure you complete all required fields or we will be unable to process your membership application.


Download and print the membership/renewal form

First Name *  

Last name *  

Company Name 

Title *  

Address 1 *  
Address 2  

City *  

State * 

Zip Code 

Phone *    

E-mail *  
The Council sends regular e-mail newsletters on upcoming programs, travel opportunities, membership benefits and reminders. Your e-mail address is important to ensure that you are kept up to date on Council events and short-notice advisories on programs. You will be automatically added to our e-mail subscriber list for this reason. However, if you do NOT wish to receive any e-mail from the Council, you may unsubscribe at any time by sending an e-mail to membership@wacphila.org.

Family Members' Names (if applicable): *Please indicate relationship

I wish to become a member at this level (please check one yearly fee): *Please select a Level

Individual (formerly Delegate) — $60
Dual (formerly Diplomat) — $100
Dual Plus (formerly Envoy) — $250
Ambassador — $500
Cabinet — $1000
Statesman — $2500
Premier — $5000
Superpower — $10,000


Click here to view all membership levels

Credit Card Type *  Visa  MasterCard  American Express

Card Number 

Expiration Date  (mm/yy)

SIC/"V" Code   Click here to view SIC/V location

Credit Card Billing Address
(if different than above)


 I am interested in automatically renewing my Council membership. Please send me a consent form.

 I am a Young Professional between the ages of 21 and 35. Please send me information about Young Professionals events.

 

How did you initially find out about membership to the Council? *Please check one

Council Newsletter
Council e-mail
From a friend
From the website
Newspaper or radio ad (please note publication/station and date)

Through my school (which one?)

Through an organization (which one?)

Other

Before you click SUBMIT — please be sure you have included your name, title, address, phone, e-mail address, membership level, how you found out about the Council, and credit card information.