newworldhope.org | A NON-PROFIT HUMANITARIAN ORGANIZATION
     

 
 
    APPLICATION FOR INDIVIDUAL MEMBERSHIP

ONLINE INDIVIDUAL MEMBERSHIP SUBMISSION FORM
Please note: When you fill online individual membership form, your payment must be received within 30 days, or your registration will be deleted.
*denotes required field
*First Name: *Last Name:
*Address:   *City:
*Province/State:  *Country:
*Postal Code:    
*Home Phone #: Business Phone #
Fax #: *Email:
Gender: Male             Female *Age Group: Under 35               36-50            51+
*Region:
*Profession:
Educator Student Medical/Legal      Government Business Self-employed
NGO       Technical Labor Retired  Military  
*Job Title: Org / Company:
*Responsibilities: Income level:
       
*INDIVIDUAL MEMBERSHIP DUES
(Payment must be received within 30 days for this application to be valid).
 
Total Annual Membership Dues for Individual:

Individual:

US$100/year

Additional Contribution:     Amount (US $)
In addition to my membership dues, I would like to make an additional contribution (contributions are tax deductible to the extent provided by law).
 
*PAYMENT OPTION (Please Check One) 
(Please indicate that the payment is for NWHO Membership).
Cheque or Money Order or
Payment by Bank Draft.

(In US Dollars as appropriate, or the equivalent in any other convertible currency), made payable to:
Please Post to:

New World Hope Organization
CB-94, Land Mohabbat Abad, Barrier No.2
Wah Cantt, Pakistan, 47040
Pay Membership Fee Directly
into the New Word Hope Account
THE NWHO BANK DETAILS ARE AS FOLLOWS.
    Title of Account.  New World Hope Society
    Account No. CD-1735-6
    Bank Name. The Bank of Punjab
General Bus Stop, Taxila, Pakistan
    Swift Code No. BPUNPKKAXXX
*Do you require a receipt: YES   NO