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
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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.
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