Haiti Global Village Membership Application Form
Please fill out this form and submit.
Title *
First Name *
Last Name *
Address Street 1 *
City *
State *
Zip Code *
Phone# *
Email *
What is your profession and job title? *
What would be your ideal level of commitment once joining HGV? *
Required
What category would you ideally fall when joining HGV? *
Required
What committee are you interested in joining? *
Required
How often can you host a fundraising event? *
Comments/share your thoughts about Haiti, any project ideas, how you can contribute to the network etc... *
Submit
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