Contact Information

Company Name:

Please list the names of all the individuals from your company that will be considered members of the World Affairs Council.  Corporate Sponsors may list up to  four names.  Corporate Patrons and Corporate Ambassadors may list up to eight names.

#1:    Primary Contact Name:

        Job Title:

#2:    Name:

        Job Title:

#3:    Name:

        Job Title:

#4:    Name:

        Job Title:

#5:    Name:

        Job Title:

#6:    Name:

        Job Title:

#7:    Name:

        Job Title:

#8:    Name:

        Job Title:

Company Address:

City:   State:   Zip Code:

Primary Contact Phone:    Primary Contact Fax:    

Primary Contact Email:

Company Web Site Address:

Please select the membership level that is right for you....

Corporate Sponsor ($500/year) Corporate Patron ($1500/year) Corporate Ambassador ($3500/year) Corporate Shareholder ($5000/Year)

Payment

Please mail your payment by check or money order to:
World Affairs Council
Post Office Box 5593
Columbia, SC  29250

Please check this box if you would prefer that we invoice you. 

Due to the high cost associated with accepting payment by credit card, the World Affairs Council will no longer be able to provide this service effective April 1, 2002.  We apologize for any inconvenience this may cause.