JOIN AZANIA HERITAGE TODAY!

Home Page | Membership | About Us Page | Contact  Us Page | POLITICAL ACTIVISM | Activity Pictures1 | Activity Pictures2 | Favorite Links

 


AZANIA HERITAGE INTERNATIONAL

 

New Membership Form

Yes! I want to join-----------. I would like to support -----------Azania Heritage International.  My tax deductible donation of is enclosed.

Annual individual membership is .00 and . 00 for students. Corporate membership is .00. Membership is open to all without regard to race, origin or religious affiliation.
 

Name: ___________________________________________

Address, City_____________________________________

State, Zip: ________________________________________

Telephone / Fax: ___________________________________

Email: ___________________________________________


Payment:  ___ by credit card   ___ by check

Credit card: ____ Visa _____ MasterCard 

Credit card # ______________________ Expires ________

Signature ________________________

Mail completed form to:

Azania Heritage International

C/O Thomas Merton Center
     5125
Penn Avenue
   
Pittsburgh, PA 15224

Tel: (412) 881-0113/ (412) 361-3022 Email: info@azaniaheritage.net

* Azania Heritage International is a registered 501 (c) (3) nonprofit organization in Pennsylvania that works to promote African empowerment. All donations are tax deductible.