Membership Application World Communication Forum Association (WCFA) Non-profit Organization
Please, complete the form with all due information, print it, and return signed as a scan via email. For further information or queries, please email us at: forum@forumdavos.com
Personal information Title*:
Mr.;
Mrs.;
Ms;
Dr.;
Other:
Sex: Male; Female First and last (family) name*: Organization, position held*: Postal address, city, code, country*: Phone* (global code - city area - number): Mobile* (global code - city area - number): Email*: Contact person (if different from the applicant): Position, phone, email:
Additional data
Projects you are proud of*: Professional awards: Professional mission*: Tw/Li/FB accounts: Blogs:
Annual Fee
type “x” in the appropriate box
One-time Entry Fee**
Amount* 200 euro
for new members only
Annual Membership Fee**
200 euro
TOTAL**:
200 euro
NB! The above fees refer to annual membership in WCFA from date of application until end of December 2015.
I apply for WCFA membership and agree to abide by the Code of Conduct. I confirm that all details provided here are complete and correct and that I have read and accept the valid statutes and regulations of the World Communication Forum Association. I agree the data submitted by me to be processed for purposes pursued by the Association. Invoices: only for Bank Transfer payments! (Ask for bank details: forum@forumdavos.com) For due bank transfer as per Pro-Form Invoice issued upon receipt of this application (paper invoice is due upon payment), I’d like the WFCA organization to invoice the*: Company; Person, namely: I hereby agree to pay the due total amount of*: 200 Euro, in words - two hundred Euro Date of application*: *Obligatory Information ** NB! > One-time Entry fee is NOT due for 2015! > Annual fee is Preferential for 2015!
Applicant’s signature: __________________________