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  Application Form for Newsletter Subscription or Membership





(incl. Area code)


For Newsletter Subscription please complete this section:
Please tick only one box and don't forget to enter an amount in the $ field if you chose to donate an other amount

I donate 100$ for the year 2014 


I donate an other amount for the year of 2014 $


A newsletter subscription will suit those who wish to keep up with society events but not take an active role.


To apply for Membership please complete this section:
Please tick only one box and don't forget to enter an amount in the $ field if you chose to donate an other amount

I donate 100$ for the year 2014 


I donate 10$ for the year 2014 


I donate an other amount for the year of 2014 $


If you would like to become a member but cannot afford to pay a membership fee, please tick here as exceptions can be made!

 I would like to become a member but cannot afford to pay a membership fee



Full Membership entitles you to newsletters. Full membership is generally for those who can take an active interest in Madagascar America Foundation and /or are able to undertake some voluntary work. Full Membership can create or encourage the creation of a new local community to help and support by its actions and initiatives Madagascar America Foundation.

Bank Wire Transfers have to be done to:
Account Name
Madagascar America Foundation
Account #: 1690473069
Ref.: Subscription/Membership payments
Routing #: 121000248
SWIFT code: WFBIUS6S
Bank info: Wells Fargo Bank
400 Scarlett Road
Kennett Square PA 19348

Subscription/Membership’s renewal become payable in October of each year.
If you have any questions about newsletter subscriptions or Membership then please contact us.



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