AWIS-PHL Chapter Information Form (Junior Level and Above)

New Members: Please complete this form in addition to the AWIS membership application. This form IS NOTan official membership application. It is for Chapter information puposes only. It will alert the chapter to your new membership and get you on our e-mail list right away. Once you complete your Chapter Information Form, you MUST proceed to the National AWIS site and click on “Join” at the top of the page (or use this link for the AWIS National join page) to complete the membership process.

Existing Members: Please use this form to update your information at the Chapter level. You may update your information with National AWIS by going to the member log-in section on the AWIS National site.

Only members of both AWIS-PHL and National AWIS are eligible to vote in Chapter and National elections.

This form is safe but not encoded. If you do not wish to fill out the form online, you may print this page and mail or fax your membership information to:
Dr. Ellie Cantor
116 Summit Dr.
Phoenixville, PA 19460
(fax) 888-304-2805

Or you may e-mail your information to: membership@awisphl.org.

Please fill out all applicable fields as completely as possible.
Fields marked with an * are required.

AWIS-PHL Chapter Information Form

 

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