ICDJV Contact Form

Print this form, fill it out and mail today to:

        
        
        
                 ICDJV-USA 
                 c/o FREE CUBA Foundation
                 Graham Center  Room 340
                 Florida International University
                 Miami, FL. 33199

        For more information call (305)348-2285
        

Check all that apply to you:

__ Give me a call, I want to help support the ICDJV!

   My phone number is _____________________________

__ Add my name to the ICDJV mailing list.


__ I want to have the ICDJV Update Bulletins mailed to me.
   I have enclosed $1.50 for each future bulletin.


__ I have read "The Call" (http://www.fiu.edu/~fcf/justice.html) and would
   like to sign on and join the ICDJV in the battle to bring justice to
   the victims of the "13 de Marzo" Massacre.

__ I want to start a local chapter of the ICDJV in my area


        Name ____________________________________________________

        Street Address __________________________________________               

        City_______________________________ State __________ Zip_________


Other Comments or notes:


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