White Ironstone China Association New Member and Membership Renewal Form
Complete this form to either become a member of the White Ironstone China Association or renew your membership.

After completing this form, click on the PayPal link below the form to make your payment.

Membership Dues:  $40 for one or two persons at the same membership address.
Membership Year:  June 1 through May 31 of the following year.
If you have membership questions contact: membership@whiteironstonechina.com
Sign in to Google to save your progress. Learn more
I am... *
Person 1 *
E-Mail for Person 1 *
Phone for Person 1 *
Please enter your number in this format: xxx-xxx-xxxx
Address for Person 1 *
City for Person 1 *
State/Province for Person 1 *
Zip Code for Person 1 *
Country for Person 1 *
Person 2
E-Mail for Person 2
Phone for Person 2
Please enter your number in this format: xxx-xxx-xxxx
White Ironstone Collecting Interests:
Would you like to be listed in the Membership Directory? *
I am interested in participating on a WICA Committee. *
How did you hear about WICA? Please check one of the following: *
AFTER completing and submitting this form, please click on the PayPal link below to make your payment.
Clear form
Never submit passwords through Google Forms.
This form was created inside of Augustana College.