WIFA Membership Application 2022

2. Membership Dues are Waived Again for 2022

   Thank you for joining the Worthington International Friendship Association, where members learn and live together in a diverse community, country, and world. WIFA seeks to foster intercultural friendships, welcome international newcomers, and learn and experience cultural differences and connections. We believe that understanding different cultures and customs is essential for living in the global community of the 21st century.
   
   Pandemic conditions permitting, activities include interaction and exchange with Worthington's sister city, Sayama, Japan; ethnic dinners, celebrations, and special events; educational programs and presentations. 

   Learn more about WIFA at worthington.org/WIFA. For more information email Anne Brown at anne.brown@worthington.org or call 614-854-7173.

6. Please fill out the information below to join WIFA in 2022

   Previous memberships from 2020 and 2021 will automatically be carried over to 2022.

8. Please Select Membership Category*

   1. Family
   2. Individual
   3. Student
   4. Senior, age 65+
   5. Senior Couple, age 65+
10. Membership 1 (primary):
    For Individual, Student, Senior memberships and primary Family contact. (For Family and Senior couples, please add name(s) of additional members in "Membership 2" field below.)
12. First Name*
13. Last Name*
15. Address1*
17. Address2
19. City*
20. State*
21. Zip*
23. Email address*
25. Phone 1
27. Phone 2
31. Membership 2 (secondary):
    If you selected a Family or Senior Couple Membership, please fill in the names of additional family members.
33. First Name
34. Last Name
36. Additional Email address for adult Family Member or Senior Couple
38. First Name
39. Last Name
41. First Name
42. Last Name
44. First Name
45. Last Name
47. First Name
48. Last Name
50. First Name
51. Last Name
Leave This Blank:


53. 1. Receive an email copy of this form.
54. Email address

    This field is not part of the form submission.

55. Submit Submit and Print

* indicates a required field