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 *
Last Name *
Street Address 1 *
Street Address 2
City *
State *
Zip Code *
Email Address *
Phone *
Professional Affiliation *
Please enter the name of where you work or attend school currently
Position *
What is your position with your company or at what stage in your education are you as a student
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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