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New Member Form
Welcome! Please tell us about yourself for our Member Directory.
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* Indicates required question
Full
Name
*
Your answer
Email
Your answer
Phone - Cell
(xxx) xxx xxxx
Your answer
Phone - Other
(xxx) xxx xxxx
Your answer
Local Address
Include cross-streets, Colonia/Fraccionamiento, and City
Your answer
Residency
How much of the year do you live in the Mérida area?
Choose
Full time
Part time
Other Home
Where do you call home when you are not in Mérida?
Your answer
Nationality
Your answer
Second
Nationality
If you strongly identify with a second country
Your answer
Interests
Your answer
Occupation
(current or former)
Your answer
Birth Place
Your answer
Birth Date
MM
/
DD
Spouse/Partner Name
Your answer
Emergency Contact
Full name, relationship, phone #
Your answer
Referred by
Your answer
Photo Permission
Members may photograph Club events and post images online. What is your preference concerning photos in which your image appears? IWC will honor your preference in Club publications, and will do our best to get member cooperation:
I do not need advance notice.
I prefer to review any such photo and make decisions about its use.
I prefer that no photos of me be used.
Clear selection
Address Permission
Your address will appear in the IWC Member Directory. Some members’ homes appear on a (private) Google map linked to the Directory. May we place a pin on the map showing your local address?
No
Yes
Need to discuss
Clear selection
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