AWC New Member Application Form

Thank you for your interest in the American Women's Club of Basel. Please complete this online membership application form.

Today's Date *

Are you a new or returning member? *

First Name *

Last Name *

Street and No. *

Address 2

PLZ *

City *

Country

E-Mail *

Diese E-Mail-Adresse ist ungültig.

Home Telephone

Mobile Phone

Birthdate

Please check if you are a US citizen.

Spouse/Partner's Name (if applicable)

Please check if you are new to the Basel Area?

If not, how long have you lived in the Basel area/CH?

Where did you move here from?

How did you hear about us? *

Do we have your permission to include photos of you attending any of our club activities in our club communications? *

Do we have your permission to include your contact information in our directory? *

This directory is for confidential and personal use by AWC members only. Members are not allowed to use any information for any commercial purposes. I agree to these conditions.