Online membership form

Thank you for your interest in CISV Maine. To apply for membership, please complete the form below. On the next page, you’ll be given the option to either pay online securely, or to mail in your membership dues via check. As always- contact us if you have any questions!

* = Required field

Membership type:

Adult Info (Parent or Individual)
1st Adult Info

* Full Name

* Email

* Phone number

* Address

2nd Adult Info

Name

Email

Phone number

Address

Children's info (not required for Individual membership)
1st participating child

Full Name

Email

Date of birth (MM/DD/YYYY)

2nd participating child

Full Name

Email

Date of birth (MM/DD/YYYY)

3rd participating child

Full Name

Email

Date of birth (MM/DD/YYYY)

4th participating child

Full Name

Email

Date of birth (MM/DD/YYYY)

Membership

Members are encouraged to become active in the chapter. Please indicate your area(s) of interest:

Chapter Support

Village Support

Youth/Family Support

Please enter the code below in the field