Name(s)

Title (if any):

Affiliation (if any):

Address:

City:

State:

Zip:

Telephone:

Fax:

Email:

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I will remit annual dues as checked below:

Consul * - $50
Family * - $75
Diplomat * - $100
Minister * - $250
Ambassador (includes one Luncheon Discussion Group subscription) - $1000
Presidential (includes free admission to all Council programs and one Luncheon Discussion Group subscription) - $5000
Academic (includes five individual memberships) - $200
Corporate (includes five individual memberships and one Luncheon Discussion Group subscription) - $500
Corporate Sponsor (includes ten (10) individual Consul memberships, one (2) transferable subscriptions to the Luncheon Discussion Group series, special discount ($25) for Annual Meeting Special Luncheon for named members, invitation to be a “name” sponsor for specified Council programs, web link and optional web page for organization in Council website, one (1) customized on-site Council program for corporate employees) - $1000
Corporate Patron (includes ten (10) individual Consul memberships, free admission to all Council events for named members (non-transferable), invitation to be a “name” sponsor for specified Council programs, web link and optional web page for organization in Council website, customized on-site Council programs for corporate employees) - $5000

* A subscription to the Luncheon Discussion Group [eight luncheons annually at the Duquesne Club] may be added to this category for an additional $225, subject to availability.
Check here to add a subscription to the Luncheon Discussion Group.

In addition to my annual membership dues, I enclose this amount as a tax deductible contribution to the World Affairs Council of Pittsburgh.

None $25.00 $50.00 $100.00 $200.00 $300.00 $400.00 $500.00 $600.00 $700.00 $800.00 $900.00 $1000.00

I would like to. . .

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