CISV Jacksonville 2018 Membership Form
Once you submit your form, please visit paypal to process your membership fee.

If you would like to pay by check, visit cisvjax.org/join for downloadable form and send with check, payable to CISV Jacksonville to:
CISV Jacksonville
1650 Margaret Street, Suite 302; PMB# 279
Jacksonville, FL 32204-3869
Attn: Membership Committee

Higher level chapter sponsorships are available, please visit cisvjax.org/chapter-sponsorship
CISV Jacksonville is a 501(c)(3) nonprofit organization. Your contribution is tax-deductible. You can also contribute through United Way.
Please write-in “CISV Jacksonville.” Please check with your employer for matching donation programs

Questions? E-mail us at cisvjax@gmail.com
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Full Name *
e-mail *
Phone Number *
Address *
Additional Adult Name (please note if different contact info)
1st Participating Child Name
e-mail
Date of birth (MM/DD/YYYY)
2nd Participating Child Name
e-mail
Date of birth (MM/DD/YYYY)
Please note additional participating children
Membership Categories
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Optional Support (any amount welcome)
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Member Support
Members are encouraged to become active within the chapter. Please indicate your area(s) of interest:
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