| Membership Application Form (Print out and mail to, or fill out and email as attachment to) World Constitution and Parliament Association 313 Seventh Ave., Radford VA 24141, USA Email: gmartin@radford.edu, Fax 540-831-5919 Web Page: www.wcpa.biz
Name (please print)_________________________________ Signature________________________________ Occupation________________________________________________________________________________ Address: _____________________________________________ City________________________________ State/Province__________________________________________ Post Code___________________________ Country__________________________________________ Phone___________________________________ Email_______________________________ Fax______________________ Web________________________ Organization_______________________________________________________________________________ Position__________________________________________________________________________________ Organization phone:_______________________________ Fax_______________________________________ Web:_______________________________________ Email:_____________________________________
Membership dues: Developed countries: $30.00/ year Developing countries $0 Developed countries (student or strapped): $15.00
You can donate to WCPA through Paypal.
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