Please complete, print, sign and mail the form below with payment to:
Women's City Club of New York
307 Seventh Avenue, Suite 1403
New York, NY 10001
Membership Information:
Please send mail to:
Home
Business
Ms.
Mrs.
Mr.
Dr.
Other:
Name (First, Middle, Last):
Co-member (if Dual Membership):
Home address (number, street, apt. #):
City, State Zip+4:
Home phone:
Home fax:
Home e-mail:
Occupation:
Current
Former
Business title:
Business name:
Type of business:
Business address (number, street, suite/floor):
City, state zip+4:
Business phone:
Business fax:
Business e-mail:
If retired, your primary professional background:
Other interests, experience or volunteer work:
Educational Background: (school name/degrees)
How were you introduced to the WCC:
Signature:
_________________________________________
Date:
Interests:
Civic Committees:
Preservation/Public Art
Education
Election/Legislative Reform
Health Issues
Housing and Planning
Infrastructure/ Public Transportation
Women's Issues
Organizational Committees:
Writing
Development/Fundraising
Hospitality/Office Support
Membership
Oral History/Archives
Membership Categories:
Individual
Dual (two people at same address)
Regular
$150
$225
Sustaining
$225
$300
Supporting
$300
Contributing
$500
Young Professional
$50
(must be 26 to 35 yrs old)
Student
$20
(must be 18 to 25 yrs old, submit copy of current school ID)
Life
$5,000
(may be paid in two annual installments of $2,500)
Method of Payment:
Check
Credit Card:
(only payments of
$50
or more)
American Express
Mastercard
Visa
Credit card number:
Expiration date:
3 or 4 digit security code:
