Membership

Donation Form

First Name *  

Last Name *  

Title

Company Title  

Company Name  

Address 1 *  
Address 2 *  

City *  

State *   Zip Code * 

Phone *    

$   DONATION AMOUNT

 

Credit Card Type  Visa   MasterCard   AmEx

Card Number 

Expiration Date  (mm/yy)

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

Credit Card Billing Address (if different than above)

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.

 

How did you hear about the Council? *

Council newsletter
Council invitation
Council e-mail broadcast
Council website
Through a friend
Philly.com
British-American Business Chamber
Newspaper or radio ad (please note publication/station and date)

Through an organization (which one?)

Other