IWAP registration 2023/2024

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To complete IWAP registration:

① fill out this form

② pay membership fee of $30 if you plan to attend meetings in person

* You may attend your first meeting for free.

* Check or cash can be given at registration desk in person; or Zelle to iwap.pittsburgh@gmail.com

Thank you!

Email *

First Name *

Last Name *

Are you new to IWAP? *

Yes, I'm a new member!

No, I'm a returning member!

Address *

Please include Street address, City and State

ZIP code *

Do you think you will attend IWAP activities in-person? *

Yes, I reside locally, and DO PLAN TO ATTEND activities in person

No, I live OUT OF TOWN, but want to receive the newsletter and online meeting invitations

No, I am UNABLE TO ATTEND meetings for another reason, but want to stay in touch

Mobile phone number

Home phone number

Home country *

How did you learn about IWAP? *

Friend

Internet search

CMU

Literacy Pittsburgh

Paper Flyer

Other:

Anything you'd like to share! (hobbies, professions...)

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