2019 WCC Membership Form
Please complete all the required information and submit your membership dues via the PayPal link available on our website (www.pghWCC.org).
First Name *
Your answer
Last Name *
Your answer
Street Address 1 *
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Street Address 2
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City *
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State *
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Zip Code *
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Email Address *
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Phone *
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Professional Affiliation *
Please enter the name of where you work or attend school currently
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Position *
What is your position with your company or at what stage in your education are you as a student
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Please select type of membership *
I am currently a member of the American Chemical Society *
*membership in the ACS is not required for WCC membership
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