CIC: Forms

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Together, my brothers, my sisters, we are going to begin a new struggle, a sublime struggle, which will lead our country to peace, prosperity, and greatness. Together, we are going to establish social justice…make the Congo a nation, happy and free. - Patrice Emery Lumumba.

Forms


MEMBERSHIP APPLICATION (click here for a pdf download of the form)

Member Type
CIC has three levels of membership support. These are lifetime Benefactor and Sponsor membership for a one time donation of $500 and $250 dollars respectively and Sympathizer memberships for a monthly donation of $10. Please indicate your choice by checking the appropriate box above.

Name
Street Address
City & State/Province
Country
Zip / Postal Code
Email Address
Telephone


		CIC will not share your personal information with any other parties.

Now click on the button below and enter the appropriate donation for the membership subscription type you have selected.