Italian-American Women's Center, Inc.

Membership Application

                    Subscription fee:   $30 per year (tax deductible)

Name:

Address:

City:

State:

Zip Code:

Telephone No.:

E-mail:

I am interested in working with or on the following committees:

Media / Business

Culture

Social

Education

Print form and mail with check for $30.00 to: 
Italian-American Women's Center, Inc.
P.O. Box 656724
Fresh Meadows, NY  11365-6724

P.O. BOX 656724
FRESH MEADOWS, NY  11365[6724