Membership Application

Membership

Membership fees are a suggested contribution to assist towards the running costs and the scholarship fund of the IWPA. Our suggestion is £25/US$45 per annum. Please use the form below to apply for membership.

This fee supports the goals of the IWPA and helps provide information, fixtures, results and news to women around the world. Members will receive invitations to complimentary and subsidized women's polo training sessions, tournaments and social events world-wide.

Personal Details
	First Name
	Last Name
	Address
	Town
	State/Province/County
	Postal/Zip Code
	Country
	Phone
	Fax
	Email
	Web Page
Playing Details
	Current Handicap
	Highest Handicap
	Club Affiliation	If Other - Please Specify
	Club Name
Playing Experience
	Year First Played
	Highest Level Match
	No of Own Ponies
	Other Information for your Bio: (Don't forget to email us a photo.)
Membership Fee -		(Suggested Contribution: GBP 25/USD 45)
	Credit Card Type	(Sorry: Not American Express)
	Credit Card Number
	Credit Card Expiry Date
	Preferred Amount	(Currency in words as above)

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