Louisville International Cultural Center (LICC)

Join LICC > Membership Form Online

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Personal Information
Salutation Preference:	Mr. Ms. Mrs. Dr. Other: None
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Work Informaton

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Interests & Membership Information

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Select desired membership level (check one):	Individual Memberships: $10 Student $35 Individual $50 Family $100 Attache $250 Envoy $500 Consular $1000 Diplomat Corporate Memberships: $500 Corporate Member $1500 Corporate Benefactor $2500 Corporate Patron Gift Membership: Gift Membership of: $
Select what activities you would be interested in (check all that apply):	Interpreting Hospitality Tour Guide Host Family Transportation Reception Host Telephone Work Committee Member Newsletter/Media Conferences Program Coordination Fundraising/Finance Marketing/Promotion Mailing International Business Other (use "Additional Comments" field to indicate the interests that are not listed above)
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