Page 5 The ICEC Newsletter
MEMBERSHIP & RELATED INFORMATION
ICEC is a non-profit organization with TAX ID No. 59-3112858
Are you a member for the current year (1997) ? If not, please send your check along with the completed enrollment form reproduced below to ICEC Membership, 5615 NW 45th Lane, Gainesville, Fl 32606, along with a check for $20/-. Note that membership is valid for calendar year only. However, if you become a member in November or December, your membership is valid for the following year.
Membership Enrollment Form
Last Name:___________________ First Name:_____________ Spouse:______________
Street Address:_______________ City:___________________ State:__ Zip:_______
Telephone:( ) ___________ Occupation:_____________ Spouse: _____________
Children's Name(s)/Age/M/F__________________________________________________
____________________________________________________________________________
Special Talents you wish to share with your community:______________________
____________________________________________________________________________
Business Name:___________________________ Business Telephone:( )________
Business Address:________________________ City:__________ State:__ Zip:_____
Family - $20.00 (Membership valid for calendar year only)
India Cultural and Education Center Inc. NON-PROFIT ORGANIZATION
c/o Dr. Dinesh O. Shah U. S. POSTAGE PAID
2615 NW 21st Street GAINESVILLE, FL
Gainesville, FL 32605 PERMIT NO. 538
