Membership Form for Women Traveling Together

Membership Application
(This is a Secure Form)

If you are joining and signing up for a trip at the same time,
you only need to fill out the
Trip Reservation Form

General Information we need to know about you:

First Name:	(As it appears on your driver's license/passport)
Last Name:	(As it appears on your driver's license/passport)
Nick-Name:	(Do you have a nick-name you'd prefer to be called by?)
Mailing Address:
City:
State/Province:
Zip/Postal Code:
Country:
e-mail:	(PLEASE verify that your email address is correct. We use email to confirm your membership!)
Primary Phone (with area code):	() Check if this is a cell phone
Secondary Phone (with area code):	() Check if this is a cell phone
Date of Birth:	Month (MM) Day (DD) Year (YYYY)
Were you referred by a friend? What is her name:	(so we can award her 15 travel dollar credits)
How did you hear about us?

Is this a New Membership or a Renewal?

New Membership If a new membership, check if you have previously traveled with WTT?
Renewal of a Current Membership

Annual Membership Dues Amounts:
(Note: Your renewal date is based on the day you join)

PLEASE CHOOSE 1:   1 Year $45
                                   2 Years $80 (save $10)
                                   3 Years $110 (save $25)

Membership Auto-Renewal Information:
As a service to our members, Women Traveling Together will send you an email - to the email address provided above - 30 days before your membership is due to expire and give you the option to cancel. If you do not cancel, your membership will be renewed for the same amount and time period on your renewal date.

I do not want to participate in auto-renewal.

Payment: (This is a secure site)
To submit this membership application online, you must provide your credit card information.

We only accept MasterCard or VISA

Card Number:       --- (Enter 4 digits per box)
Expires:    MM      YYYY
Card Verification Number:       (the 3 digit code on the reverse side)

Is there anything else we need to know?

You will know that your membership application was successfully sent to Women Traveling Together when you see:
"This page is your confirmation that your membership
application has been received by WTT."

Got Questions???
1-800-795-7135 in US
1-410-956-5250 outside US

Our Mailing Address:
Women Traveling Together
Membership Correspondence
300 Crestview Lane
Spartanburg, SC 29301

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