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Kenya International Community ( KIC) - USA
Membership Registration Form


Kenyan International Community membership is open to all Kenyans
regardless of country of residence, or non-Kenyans who subscribe
to the aspirations and goals of KIC.

Please complete the following online form to expedite your registration

Prefix: Dr Miss Ms Mrs Mr Other
Last Name:
First Name:
Street/Postal Address:
City:
State:
Zip/Postal Code:
Country:
Telephone:
E-mail:
Membership Type: New Renewal
Membership Category & Rate:

Student ($25.00) Individual Member ($75.00)
Family ($100.00) Life Membership ($1000.00)

Would you like to receive information about KIC, USA? Yes No
How did you hear about us? Mail Friend
Seminar/Church/Event Announcement

Enter your remarks here:

Ensure to click on the SUBMIT button once.  Membership fees may be sent by writing check to, Kenyan International Community.  Indicate on your check that this check is for Membership Fees.  The check should be mailed to, PO Box 10053, Washington, DC 20018, USA.  If you have further questions, please contact Mike Karoki or Vincent Ngeno at (301) 731-0424

P.O. Box 10053, Washington, DC 20018, USA               Tel: 301-731- 0424            Fax: 301-731-4977            Email
Copyright© 2005, by Kenyan International Community                                

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