Application Form

Name*

First Last

Date of birth*

Home area*

Contact phone*

Email*

Nationality

Passport*

Affiliated with*

Please specify your affiliation*

What language do you speak?*

Which other languages do you speak?

How did you hear about IWC?

Please attach a current photo

I accept that my picture can be taken for IWC membership list purposes*

Declaration: I have carefully read the IWC policy and agree to follow the regulations of the club*

I have paid the yearly membership fee*

Please the "ePay now" button below to complete your payment.

Phone

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