Membership Application Form
This is a membership application form. If you want to know more about WIG please go to our webpage:
E-mail address: *
First Name: *
Last Name: *
How old are you?
Clear selection
Where are you from? *
What is your address in Phnom Penh?
Phone Number: *
Facebook / Messenger Account Name *
This is going to be used to invite you to be part of our members Facebook and messenger groups.
How did you know about WIG? *
Tell us what are you doing in Phnom Penh (profession, business, activities, etc.)
Please, write your occupation
Tell us about your family here / kids / spouse / etc.
I agree photos of social and fundraising activities to be posted on WIG Communication tools. *
WIG has many ways to be involved including a number of regular activities and social events, tick as many of the boxes below as you wish – this does not commit you, but you will receive more information about it.
I am interested to be part of one of the Executive Committee teams
Are you a new member? *
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