Join PWA

Please note: REQUIRED fields are indicated by **
How did you hear of PWA Milan/EuropeanPWN?

Membership status
Has your company offered you membership as part of a corporate membership program?
	Yes No

Personal Data
First Name:**
Last Name:**
Address:**
Postcode:**	City:**
Country:**
Date of Birth:**
1st Nationality:**
2nd Nationality:
Home Phone:
Personal Email:**
University:**
Study major:**
Graduate school:
Study major:
Which languages do you speak/read/write:**

Mother tongue:**
Meetings are typicaly conducted in English but we do have the occassional event in Italian Professional/Corporate Information
Function:**
Company:**
Type of employment:**
	If “other” please specify:
Market Sector:
Address:
Postcode:	City:
Country:
Phone:
Fax:
Mobile:
Email:
Website:
Have you already attended a PWA Milan meeting? If yes, please give details:

Do you belong to other networks? if so – which ones?

What are you looking for by joining PWA Milan?

For networking purposes, please supply a short biography (max 200 words) which will appear in the private Members’ Directory, and which you may update at any time.**

Under Italian law 196/2003, personal information is to be considered confidential. Therefore, we must have your authorization for its use both in the database and in our Directory. Please note that under Italian law you may not grant access to the information in the Directory to any non-member.
I, having understood the information provided above, authorize the use of the personal information contained in my Application Form.
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