National Membership Form Name: Address: City: Province/State: Country: Postal/Zip Code: Email Contact: Your fee (please pay using PayPal on the WASLI website): Is this is a: First time application? ____ Renewal of previous membership____? If new, please submit your organizations constitution and/or bylaws. Gross Domestic Product: $0-$5,000 = $15.00 USD Afghanistan, Albania, Angola, Azerbaijan, Bangladesh, Benin, Bhutan, Bolivia, Burkina Faso, Burma, Burundi, Cambodia, Cameroon, Central African Republic, Chad, Comoros, Congo - Democratic Republic of the, Congo - Republic of the, Cote d'Ivoire, Cuba, Djibouti, East Timor, Ecuador, Egypt, Eritrea, Ethiopia, Gambia, The, Georgia, Ghana, Guinea, Guinea-Bissau, Guyana, Haiti, Honduras, India, Indonesia, Iraq, Jamaica, Jordan, Kenya, Kiribati, Korea, North, Kyrgyzstan, Laos, Lesotho, Liberia, Madagascar, Malawi, Maldives, Mali, Marshall Islands, Mauritania, Mayotte, Micronesia - Federated States of, Moldova, Mongolia, Montserrat, Morocco, Mozambique, Nepal, Nicaragua, Niger, Nigeria, Niue, Pakistan, Palestine, Papua New Guinea, Paraguay, Rwanda, Saint Helena, Saint Vincent and the Grenadines, Sao Tome and Principe, Senegal, Serbia and Montenegro, Sierra Leone, Solomon Islands, Somalia, Sri Lanka, Sudan, Suriname, Syria, Tajikistan, Tanzania, Togo, Tokelau, Tonga, Tuvalu, Uganda, Uzbekistan, Vanuatu, Vietnam, Wallis and Futuna, Yemen, Zambia, Zimbabwe Gross Domestic Product: $5,000 – $10,000 = $30.00 USD Algeria, American Samoa, Anguilla, Armenia, Belarus, Belize, Bosnia and Herzegovina, Brazil, Bulgaria, Cape Verde, China, Colombia, Cook Islands, Cyprus, Dominica, Dominican Republic, El Salvador, Fiji, French Guiana, Gabon, Grenada, Guadeloupe, Guatemala, Iran, Kazakhstan, Lebanon, Libya, Macedonia, Namibia, Nauru, Palau, Panama, Peru, Philippines, Reunion, Romania, Saint Kitts and Nevis, Saint Lucia, Saint Pierre and Miquelon, Samoa, Seychelles, Swaziland, Thailand, Tunisia, Turkey, Turkmenistan, Ukraine, Venezuela Gross Domestic Product: $10,000 – $20,00 = $60.00 USD Antigua and Barbuda, Argentina, Bahamas, The, Barbados, Botswana, Chile, Costa Rica, Croatia, Czech Republic, Estonia, French Polynesia, Guam, Hungary, Latvia, Lithuania, Malaysia, Malta, Martinique, Mauritius, Mexico, Netherlands Antilles, New Caledonia, Northern Mariana Islands, Oman, Poland, Portugal, Puerto Rico, Russia, Saudi Arabia, Slovakia, South Africa, Trinidad and Tobago, Turks and Caicos Islands, Uruguay, Virgin Islands Gross Domestic Product: $20,00 – $30,00 = $125.00 USD Andorra, Aruba, Australia, Austria, Bahrain, Belgium, British Virgin Islands, Brunei, Canada, Cayman Islands, Cyprus, Denmark, Falkland Islands (Islas Malvinas), Faroe Islands, Finland, France, Germany, Gibraltar, Greece, Greenland, Hong Kong, Iceland, Ireland, Isle of Man, Israel, Italy, Japan, Korea, South, Kuwait, Liechtenstein, Macau, Monaco, Netherlands, New Zealand, Qatar, San Marino, Singapore, Slovenia, Spain, Sweden, Switzerland, Taiwan, United Arab Emirates, United Kingdom Gross Domestic Product: $30,00 – $40,00+ = $250.00 USD Bermuda, Luxembourg, Equatorial Guinea, Norway, United States, Guernsey, Jersey Membership Forms should be sent as email attachments to: WASLI Membership Secretary: [email protected] .