World Affairs Forum - Membership

MEMBERSHIP

BECAUSE OF CURRENT TECHNICAL DIFFICULTIES, PLEASE DO NOT USE THE FORM BELOW. INSTEAD, PHONE THE OFFICE AT 203-356-0340 TO REQUEST APPLICATION MATERIALS BE SENT TO YOU OR SEND AN EMAIL TO STAFF@WORLDAFFAIRSFORUM.ORG.

Membership entitles you to free admittance to, or member discounts for, special events for one program year (September-June).

Ambassadors’ Roundtable (AR) Membership includes breakfast or dinner presentations at the Stamford Yacht Club (SYC). AR members and spouses may also attend World Affairs Forum Series events at no additional charge.

World Affairs Forum (WAF) Membership includes refreshments, networking and presentations at UCONN/Stamford. WAF members may attend two AR breakfasts at the guest rate of $40 per breakfast.

To join the Forum, please complete the following form and submit it. We will contact you shortly. You may also print this form, and send it to us at: World Affairs Forum, 800 Summer St, Suite 340, Stamford, CT 06901, enclosing a check for the membership fee. Or, you may fax us at (203)348-7130 the completed form, along with your Visa or MasterCard number, expiration date, security code and signature. WE NEED YOUR ZIP CODE TO PROCESS YOUR CREDIT CARD. Please do not e-mail your credit card information. For any further questions, please call us at (203) 356-0340.

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Membership
PRO-RATED DUES NOW IN EFFECT! I would like to join the Forum Series for the remainder of the 2009-10 Program Season -June 30, 2010. Forum Series members are entitled to attend up one AR breakfasts at the guest rate of $40 per breakfast.
	Regular Individual $ 50 Family (2 persons) $ 65 Senior Individual (65+) $ 35 Student/Educator Free
I would like to join the Ambassadors' Roundtable Series, the Forum's executive briefing series for the remainder of the 2009-10 Season. Includes 2 breakfasts & one dinner. For Profit: $325 Non-Profit $250 (working in or retired from the non-profit world--retirement from a for-profit job does NOT entitle one to non-profit membership in the Roundtable Series)

As a non-profit organization, the Forum needs your support beyond regular membership dues to carry out its programs. Please consider making a tax deductible contribution in addition to your dues.
	$250 $100 $ 50 Other _____