Foundation for Democracy In Africa
 
 
 
 
Membership
 
 

Click Here to Apply for Membership Online by making a payment for your desired level of membership (listed below) through our online donation system

OR

Print this form in your browser and send form with payment to:
The Foundation for Democracy in Africa
1319 F Street, NW, Suite 305
Washington DC 20004
Tel: 202-331-1333 · Fax: 202-331-8547
E-mail: info@democracy-africa.org


Name : ________________________________
Address: ________________________________
City: ________________________________
State/Province/Zip Code: ________________________________
Country: ________________________________
Tel. Business: ________________________________
Tel. Residence: ________________________________
Fax: ________________________________
Employer: ________________________________
Birth date: ________________________________

Please Circle the Level of Membership:

Student USD $10

Grassroot USD $25

Advisory USD $500

Corporate USD $1,000

Trustee USD $2,000

 
 

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