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MEMBERSHIP APPLICATION
To apply for membership in WFBSC and allow you and your organization to improve your international perspective, complete the membership application below and return it to

Andrew Large,
Executive Vice President
478-480 Salisbury House
London Wall
London
EC2M 5QQ


Name of applicant company/association


Name of representative of company/association to be designated as official WFBSC contact


Street Address

City
 
State

Zip
 
Phone

Fax
 
E-mail


Association's annual budget in U.S. dollar equivalent figures (For "Member Association" applicants only

Membership Fees and Dues 
(All figures are stated in terms of U.S. dollars. Payment must be made in U.S. Dollars)

Member Associations: Please select one category based on your association's annual budget:

Annual Budget of under $25,000...$900
Annual Budget of $25,000 - $49,999...$1,600
Annual Budget of $50,000 - $99,999...$2,400
Annual Budget of $100,000 - $299,999...$4,400
Annual Budget of $300,000 - $499,999...$6,400
Annual Budget of $500,000 and over...$10,000

Associate Members: Please select one:

National based...$500
International based...$1,000

Other Membership Categories: Please select one:

Affiliate Members...$1,000
Subscribing Members...$500


Signature of Applicant

Date

 

For further information about joining WFBSC, about future World Congresses, or about any aspect of WFBSC, write to the address listed above or call the Secretariat in the U.K.:
Tel: +44 (0)20 7920 9632 or Fax: +44 (0)20 7638 6990