WGIPPA Membership Registration

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WGIPPA Membership Registration Form

PLEASE COMPLETE THIS IF YOU ARE INTERESTED IN BECOMING INVOLVED WITH WGIPPA.

*First name

*Last name

Cell Phone

Land Line Phone

*Email

Address

Occupation / Classification

Sponsor, if any

Are you a Rotary Member?

YES

If your answer is YES...

Rotary District

Rotary Club

Select any that apply;

Conservation & Environment

Peace

Branding and Promotion

Peace Centres

Indigenous Peoples Engagemen

I consent to the collection and use of my personal information for WGIPPA membership purposes.

I agree to receive communications related to WGIPPA activities and events.

I grant permission for WGIPPA to use photos/videos of me for promotional purposes

I confirm that the information provided is accurate and that I am submitting this membership registration to WGIPPA.

Waterton Glacier International Peace Park Association is sponsored by Member Minder Pro, LLC dba iMembersdb

Use of logo must be approved in writing by the Board of the WGIPPA.

For more information please contact

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