Membership Application IWC Leipzig
Thank you for your interest in IWC Leipzig. Please note: optional information can help us get to know you and connect you into the club, it is NOT required. Data with * go into the Club's Directory (except the year of birth)
Name
*
First Name
Last Name
Nickname/Used Name
Address
*
Street Address
Street Address Line 2
Postal Code
City
City
Home Phone
-
City code
Phone Number
Mobile Phone
*
-
Country code
Phone Number
Email Address
*
example@example.com
Date of Birth
*
-
Day
-
Month
Year
Date
Nationalities
*
Countries lived in
*
Languages spoken
*
OPTIONAL INFORMATION
Profession/Jobs held
What brought you to Leipzig?
Do you have family here? Do you have children? Ages?
Please check mark your skills/talents, that you might be willing to share with the club in the future
Advertising
Marketing/Outreach/PR
Activity Planning
Graphic Design/IT Specialist
Charity Event Planning
Finance/Accounting
Fundraising
Decoration
Other
What are your hobbies/interests? (first 3 go into the Club's Directory)
Would you be willing to organize a small gathering of members based on one or more of your hobbies or interests?
Yes
No
Would you be interested in supporting IWC by participating in a committee? (i.e. Charity Team, Welcome Team, Tech Team .......)
No
Yes
Which ?
What kind of groups, activities and events are you interested in participating in? Check all that apply:
Book club
English conversation
German conversation
French conversation
Movie club
Speaker series
Coffee Mornings
Wine/Social Evenings
City tours/Cultural events
Day Trips
Other
What are the best times/circumstances for your participation in events? Check all that apply:
Weekday Mornings
Weekday Afternoons
Weekday Evenings
Weekends
With partners
With families
Just ladies
Other
How did you hear about IWC Leipzig:
Website
Friends
Other
Payment
Once the application is approved please pay the annual fee of 65€ (50% for students up to the age of 25 years) SparkasseLeipzig, DE54 8605 5592 1100 4855 77
Print form
Submit
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