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World Allergy Organization Member Society Application

Formal or Legal Name of Society:
Name of person submitting application:
Title of person submitting application (within the society):
Number of Members:
Offical Language:
Country Represented:
Primary Contact Name:
Primary Contact Email:
Zip/Postal Code:
Society Web site:
Upcoming Meetings (Name and Year(s) hosted by your society):
Other Allergy Societies/Organizations the applicant society is affiliated with:

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

(1) Completed Membership Application (above)

(2) Officer Roster: Current list of officers (for example: President, President Elect, Secretary General, etc.) and Board of Directors, including address, telephone, fax, and email address for each (Please send data as an Excel spreadsheet, Word document or via disk)

(3) 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).

(4) Copy of the society's 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)
555 East Wells Street, Suite 1100
Milwaukee, WI 53202-3823, USA
Telephone: +1 414 276 1791
Fax: +1 414 276 3349

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

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