Join GIfC!     


Membership Form

Please fill out this form to let us know of issues important to you and your level of interest in supporting our efforts in the Greater Indianapolis area.

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Contact Profile:

Fields marked with an asterisk are required.

First Name*

Middle Name or Initial

Last Name*

Street Address*

City*

State*

Zip Code*

Preferred E-mail*

Preferred Phone Number*

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Issues Profile:

Please select any and all issues with which you would like to be informed, updated, and/or involved:

Economics:

Agriculture and Farming Jobs and Trade Retirement Security Rural Community Technology Urban Community

Education:

Adult Education Affordable College Early Childhood K-12 Issues

Environment:

Energy and Transportation Energy Grid Global Warming and Climate Change Green Jobs

Gender Specific Issues:

LGBT Issues Reproductive Rights Women and Economics

Government:

Accountability and Openness in Government Budget and Taxes Ethics and Corruption

Healthcare:

Computerized Medical Records Disability Medical Insurance Prescription Drugs Universal Healthcare

Military:

Military Families Veterans Affairs War in Iraq

National Issues:

Defense and National Security Foreign Policy Homeland Security Immigration

Politics:

Divisive Partisan Politics Election Reform and Campaign Finance Local Elections National Elections

Societal Issues:

Civil Liberties and Privacy Civil Rights and Voting Community Service Crime and Punishment Poverty

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Action Profile:

Please select any and all ways that you can become involved:

I would like to participate in local action and discussion for at least one of the above issues:

Yes

I would like to help organize and lead volunteers in one of the above issues:

Yes (We will contact you.)

I would like to be asked to volunteer whenever you need help. Please call me.

Yes

I know of a facility or room where meetings can be held at no cost.

Yes (We will contact you.)

GIFC will not give out your personal information to any other organization.