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GCICS Membership Application

To submit this PAPER APPLICATION please complete the information below and print this page by selecting file/print from your web browser or press CTRL-P (pc) or COMMAND-P (mac).

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Please write MEMBERSHIP on the envelope and mail the completed membership form and check to:

GCICS -- 1811 Englewood Rd, #317 -- Englewood, FLORIDA 34223

Select One:
Select One:
Please consider making a donation to support the GCICS Scholarship Fund - a charitable actitvity of long-standing tradition that advances our Society’s mission. All contributions are tax-deductible and will be gratefuly acknowledged.
Donation to Scholarship Fund - Select One

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The Gulf Coast Italian Culture Society, Inc (GCICS) is an IRS recognized Sec. 501.(c).(3) tax exempt organization and a FL Registered Charity. A COPY OF THE OFFICIAL REGISTRATION AND FINANCIAL INFORMATION MAY BE OBTAINED FROM THE DIVISION OF CONSUMER SERVICES BY  CALLING 1-800-435-7352 WITHIN THE STATE.  REGISTRATION DOES NOT IMPLY ENDORSEMENT, APPROVAL, OR RECOMMENDATION BY THE STATE. License # CH7166. It receives 100% of each contribution.

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