World Affairs Council Banner

Individual Membership Application

Thank you for signing up to become an active member of the World Affairs Council. Print and fill out this form and fax or mail it to the World Affairs Council at the address below.

Name:
Address:
City:
State:
Zip:
Home Phone:
Employer:
Occupation
Office Phone:
Fax:
Email:
   
  Level of Membership (click one)
   
Student - $15 +
Diplomat - $75 +
Ambassador - $250 +
President's Circle - $1,500 +

Payment Options

1. Complete and print this page. Send with check made payable to World Affairs Council of Greater Cincinnati to: 105 E. Fourth St., Suite 510, Cincinnati, OH 45202 or fax to 513-241-9089.

2. Pay for your membership with your VISA card. Call 513-621-2320 with your information, card number, and expiration date.

3. How did you hear about us? __________________________________________________________________________________.

Benefits of Individual Membership | Benefits of Corporate Membership