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Please complete the form below to SIGN-UP for or RENEW your World Trade Center of Greater Philadelphia membership.  You will be contacted by your International Trade Specialist shortly after your payment is processed.  Contact Michael Colligan at 215-586-4240 x118 if you are experiencing any difficulties.

Membership Information

Is this new membership application or a renewal?* New Renewal

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  		First name:*
  		Last name:*
  		Suffix:
 
Business title:
Billing Address 1:*
Billing Address 2:
City:*
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  		Zip:*
  		Country:*
County:
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Fax:
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Company Information
Please fill this section if you are signing up for a company.

Organization name:*
Website:
Service: (ie Transportation)
Number of employees:
Year established:(ie 1999)
Sales:
International sales percentage:

Industries:
Has no industry
EnergyHi-TechPaperAerospace & Defense
ArchitectureAutomotiveBankingBiotech / Life Sciences
ChemicalCommunicationsConstruction/EngineeringConsulting
DistributorEducationElectronicsEntertainment
EnvironmentalExport Trading CoFood Equipment / MachineryFood Marketing Coop of PA
Food ProductsFreight ForwarderHealthcare ServicesHotel
ImporterInformation TechnologyInsuranceLegal
ManufacturingMass MediaMedical Equipment & SuppliesMetal Working
Packing & CratingPaper PlywoodReal EstateRestaurant
Service ProviderTranslation / InterpretingTransportationWholesaler
Other
If Other:

Billing Information
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First name:
Last name:
Credit Card Type:*
Credit Card Number:*
Credit Card Code (ccv):*
Credit Expiration (ie. mmyy):*

Additional Members
Member 1:
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  		Last name:*
  		Suffix:
 
Business title:
Email:*

Member 2:
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  		First name:*
  		Last name:*
  		Suffix:
 
Business title:
Email:*

Member 3:
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  		First name:*
  		Last name:*
  		Suffix:
 
Business title:
Email:*

Member 4:
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  		First name:*
  		Last name:*
  		Suffix:
 
Business title:
Email:*

Drexel Lebow HSBC DCED Delaware River Port Authority PNC Bank Royal Bank of Scotland TD Bank UPS Wells Fargo White and Williams Temple CIBER