Join WACHH Online

Membership Form - Program Year October 2011-May 2012

Please fill out this form and submit to join World Affairs Council of Hilton Head. Your online payment will be processed securely by PayPal. (You may also send your payment via U.S. Mail after completing the on-line registration form.) Items marked with an asterisk are required.

Name (as you wish it to appear on your name badge)*
FirstLast
Spouse (if a member, name as you wish it to appear on name badge)
FirstLast
Address*
Street AddressCityStateZip Code
Phone
Email (please list email address for each member)*
Enter EmailConfirm Email
Email (spouse)
Enter EmailConfirm Email
Membership Payment*
- Individual, $75.00
- Member plus spouse, $150.00
Donation to support the WACHH Academic World Quest Program
Thank you for your tax-deductible donation to the World Affairs Council of Hilton Head.
Donation to support the WACHH Education Outreach Programs
Thank you for your tax-deductible donation to the World Affairs Council of Hilton Head.
Grand Total
$0.00
Payment Option*
- Pay via PayPal
- Send payment check via U.S. Mail
Mail Check to:
WORLD AFFAIRS COUNCIL HILTON HEAD
PO BOX 22523
HILTON HEAD ISLAND, SC 29925

When ready, press the SUBMIT button to transmit your registration information.
Email
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Membership Form - Program Year October 2011-May 2012

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