Wichita Area Sister Cities, Inc.
P.O. Box 47242 / Wichita, KS 67201
www.wichitasistercities.org
Membership Form
(January – December 2008)
Please join the Wichita Area Sister Cities program. Through your Membership, you can become involved in:
· Enriching community life through exhibits, tours and exchanges
· Meeting new friends with international interests
· Creating opportunities for involvement in cultural activities
· Serving as host families for visitors from other sister cities
· Supporting student exchange programs with our sister cities
· Raising money for special projects
· Providing scholarships for students
Membership in the Wichita Area Sister Cities, Inc. Program is open to any individual, family, business
organization or civic group. All members will receive our newsletter.
Date: __________________ Check here is you would like to receive the newsletter and invitations via E-mail □
Name: _____________________________________ Spouse: _____________________
Address: (home) ___________________________Zip: __________Phone: __________
(business) ___________________________Zip: __________Phone: __________
E-mail:______________________________________Fax ________________________
Membership level (mark one)
Student $15 Vice Consul $50
Individual $25 Consul $100
Family $40 Ambassador $150
Corporate $500
Additional Contributions to Scholarship Funds $ ___________________
Checks should be made payable to Wichita Area Sister Cities, Inc.
P.O. Box 47242
Wichita, KS 67201
(Your contribution is tax deductible.)
Please indicate below the area in which you might be interested in serving.
Country preference: Host Sister Cities Serve on Committee:
Delegations or exchange □ Scholarship □ Membership
□ China Students by providing □ Social □ Trade Task Force
□ France □ Public relations/ □ Newsletter
□ Mexico □ Brief Home-stay publicity □ Speakers Guild
□ Extended Home-stay □ Fund Raising
(1-6 months) □ Official Visit Planning
□ Transportation □ Youth Involvement
Check here if you would like to receive the newsletter □ and invitations □ via E-mail.
Amt. rec $ __________ Date rec ____/____/____
Country