JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
WPC 2023 Membership Application
Wichita Professional Communicators
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Today's Date
*
MM
/
DD
/
YYYY
Application Type
*
Renewal
New
Required
Payment
*
https://www.wichitaprofessionalcommunicators.com/about-wpc/join-wpc/
or mail to: WPC Membership | P.O. Box 48012 | Wichita, KS 67201
I mailed a check payable to Wichita Professional Communicators
I paid using PayPal or my preferred credit card
Your membership level
*
*Includes membership in National Federation of Press Women (NFPW), Kansas Professional Communicators (KPC) and Wichita Professional Communicators (WPC) **Includes membership in Wichita Professional Communicators only
Local $50
Student $45
Professional $155 (includes membership in Kansas Professional Communicators and National Federation of Press Women)
Required
Your Name
*
Your answer
Street Address
*
Your answer
City, State, Zip
*
Your answer
Phone Number
Your answer
Email Address
*
Your answer
Job Title, Organization
*
Your answer
Work Address
Your answer
Work City/State/Zip
Your answer
Work Phone
Your answer
Work Email
Your answer
Website
Your answer
Social Media Links
Your answer
Where would you like to receive WPC digital correspondence and our monthly newsletter?
*
Personal Email
Work Email
Which contact information may we include in our membership directory?
Home
Work
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
