SVI Membership Application Name * First Name Last Name Email * Phone * (###) ### #### Address Address 1 Address 2 City State/Province Zip/Postal Code Country Organizations you are currently or have previously been a member of: Ukrainian: * Other: Professional or Vocational * I would like to volunteer in the area(s) of: * Fundraising Cultural Programming Marketing Membership Facility Upkeep Development Library Art Committee General Support Other Other: Method of payment * The annual membership fee is $25 per person, plus a $50 enrolment fee. $75 in total. Cheque payable to St. Volodymyr Institute E-transfer to svi@stvolodymyr.org Payment over the phone I am recommended for membership by the following Institute members: Name 1 * First Name Last Name Name 2 * First Name Last Name Acknowledgment: By submitting this form, I confirm that the information provided is accurate and complete to the best of my knowledge. I understand that all memberships are subject to board approval. Thank you!