Membership Application

(This form is not interactive. Please print and send your application to the address shown at the bottom.

(For pdf click here: Membershipform)

Name ____________________________

Street ____________________________

City _____________________________

Phone ____________________________

Single Married Widowed Retired

Vocation __________________________

Avocation_________________________

New Renewal

I would like to offer my hospitality to a foreign visitor
I am interested in study tours to foreign lands
I would like to work with an FIC chapter in my community

FAMILY........................................$35
INDIVIDUAL................................$25
CONTRIBUTING..........................$50

Make checks payable and mail to:

FOUNDATION FOR INTERNATIONAL COOPERATION
1237 S. Western Ave.
Park Ridge, IL 60068