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International Consortium on Governmental Financial Management
Membership Application

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1.  Enclosed are dues in payment for membership as a (please check appropriate category):

_____Sustaining Member ($1,000)

_____Organization Member ($250)

_____Organization Member *($150)

_____Individual Member ($100)

_____Individual Member *($50)

_____Student Member ($25)

2.  Organization_____________________________________________________________________

3.  Name and Title (Individual member/contact person for sustaining and organization member):

____________________________________________________________________________________

4.  Mailing Address:

Street/Post Box_______________________________________________________________________

City_________________________________________________________________________________

Province/State________________________________________________________________________

Postal/Zip Code and Country____________________________________________________________

5.  Telephone:_____________________________________ Fax:_____________________________

6.  Email/Internet:___________________________________________________________________

7. Visa/Mastercard number________________________________Exp Date:___________________

*A special discount is offered to Low and middle lower income economies, as classified by the World Bank (Gross National Income GNI).  This discount is available to the following countries:  Afghanistan, Albania, Algeria, Angola, Armenia Azerbaijan, Bangladesh, Benin, Bhutan, Bolivia, Bosnia and Herzegovina, Burkina Faso, Burundi, Cambodia, Cameroon, Cape Verde, Central African Republic, Chad, China, Colombia, Comoros, Congo( Dem. Rep), Congo (Rep), Cote d’lvoire, Eritrea, Djibouti, Dominican Republic, Ecuador, Egypt (Arab Rep), El Salvador, Ethiopia, Gambia, Georgia, Ghana, Guatemala, Guinea, Guinea-Bissau, Guyana, Haiti, Honduras, India, Indonesia, Iran ( Islamic Rep), Iraq, Jordan, Kenya,  Kiribati, Korea (Dem. Rep), Kyrgyz Republic, Lao PDR, Lesotho, Liberia, Macedonia (FYR), Madagascar, Malawi, Maldives, Mali, Marshall Islands, Mauritania, Micronesia (Fed Sts), Moldova, Mongolia, Morocco, Mozambique, Myanmar, Namibia, Nepal, Nicaragua, Nepal, Niger, Nigeria, Pakistan, Papua New Guinea, Paraguay, Peru, Philippines, Rwanda, Sao Tome and Principe, Samoa, Senegal, Sierra Leone, Solomon Islands, Somalia, Sri Lanka, Sudan, Swaziland, Syrian Arab Republic, Tajikistan, Tanzania, Thailand, Timor-Leste, Togo, Tonga, Tunisia, Turkmenistan, Uganda, Ukraine, Uzbekistan, Vanuatu, Vietnam, Yemen, West Bank and Gaza, Zambia, Zimbabwe

Return this page via FAX, email, post with your payment to: 

FAX:        (703) 548-9367

Post:        International Consortium on Governmental Financial Management
               2208 Mount Vernon Avenue,
                Alexandria, VA 22301-1314 USA

If you have questions, please call ICGFM at (703-562-0035 or email icgfm@icgfm.org