Membership Application Form
This is a membership application form.  Please complete the form below and proceed to pay your annual membership of $30 to become a WIG (Women's International Group) member.  If you want to know more about WIG, please go to our webpage: https://www.wigcambodia.org, or our Facebook page:  https://www.facebook.com/wigphnompenh.  We look forward to welcoming you at our weekly Coffee Chat!
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E-mail *
First Name *
Last Name *
How old are you?
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Where are you from? *
Phone Number: *
When is your birthday? *
MM
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DD
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YYYY
How many years have you lived abroad?
Which area do you live in Phnom Penh? *
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? *
Required
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 consent to have my photos taken at events (social and fundraising activities) to be posted on WIG social media platforms/website, and used solely for the purposed of promoting the WIG organization. *
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 (which makes decisions on the different aspects of WIG.
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