It's Your World...Know It !!

 

 

Membership Registration 

Joining is easy!

You have 2 options:

1) Electronic option: Complete and submit the form below and then safely pay online using PayPal.

2) Traditional method: Complete and print the form below and then mail it to us with your payment

 

Click here for further instructions or call (904) 280-8162

 

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MEMBERSHIP FORM (Select One)

 

Personal Membership

Ambassador's Circle $1,000
Benefactor $700
Patron $400
  Family $150
  Individual $100
  Full-Time Educator / Active Duty Milit. $35
  Full-Time Student $15


Member Information
 

Company name (if applicable)
Individual name
Title   Spouse (optional)
Street address
City State Zip
Phone Ext. Email
Fax
Check (Made out to World Affairs Council of Jacksonville. Mail it to the address below.)

Thank you for your membership!

If you selected the electronic registration    

option, you need to press Next to pay    

with a credit card 

 

The World Affairs Council of Jacksonville

  3948 Third St. S. #380
Jacksonville Beach, Florida 32250

 

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Instructions

Electronic option:

a. Fill out this form with your contact information 

b. Submit this form using the "Submit" button at the bottom of the form

c. Press the "Next" arrow button at the bottom of the form

d. At the next screen, you can safely pay using a credit card through PayPal

 

Postal Mail:

a. Fill out this form with your contact information 

b. Print out the completed form

c. Send a check (payable to the World Affairs Council of Jacksonville) and your printed form to the above address 

   

 

 

 

 

  3948 Third St. S. #380
Jacksonville Beach, Florida 32250

(904) 280-8162

wacjax@bellsouth.net

 

 

© Copyright 2004
World Affairs Council of Jacksonville.
All rights reserved.