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Membership Application

Formal or legal name of applicant organization:
Name of person submitting application: 
Title of person submitting application: 
Number of Members: 
Offical Language: 
Country Represented: 
Primary Contact Name: 
Primary Contact Email: 
Address:
City:
State/Province:
Zip/Postal Code:
Country:
Telephone:
(please specify country code-city code)
Fax:
(please specify country code-city code)
Website:
Upcoming Meetings (Name and Year(s) hosted by your society):
Other Allergy Societies the applicant society is affiliated with:

Your application will not be processed until the information below is received by the WAO Secretariat.

Completed Membership Application

Officer Roster: Current list of officers and Board of Directors, including addresses, telephone, fax, and e-mail addresses. (Please send data as an Excel attachment, Word attachment or via disk).

Membership Roster: Current list of names, addresses, telephone, fax, and e-mail addresses of all active members. (Please send data as an Excel attachment, Word attachment, or via disk).

Copy of the current Constitution and Bylaws in English (Translated if necessary)

Please fax, mail or email the completed application and materials to the information provided below:

World Allergy Organization (WAO)
Membership Department
555 East Wells Street
Suite 1100
Milwaukee, WI 53202-3823, U.S.A.
Telephone: +1 414 276 1791
Fax: +1 414 276 3349
E-mail: jsmazik@worldallergy.org

The WAO Secretariat will contact you via e-mail within seven days of receipt of a complete application.

 

 

 

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