Yes, I want to be a GIACIV member/volunteer and become part of a special group of individuals building international opportunities for Central Nebraska.

Name:
Address:
City/ST/Zip:
Telephone:
Email Address:

Type of membership:
Family $15.00
Single $10.00

I would be interested in helping GIACIV with:
Membership
Programming Visits
Transportation
Home Hospitality
Financial
Public Relations
Leadership
Committee Chair

Once you have completed this form, please print it out and send application and check to:

Jean Fisher
1802 Stolley Park Circle
Grand Island, NE 68803