I am interested in your organization.
Here is my personal information:
Name:
Street address:
City:
State and Zip Code:
Day phone:
Night phone:
Occupation:
Hobbies/Skills:
Spouse/Partner:
Spouse Occuption:
e-mail address:
Birthday:
Please tell us how you would like to be involved:
Hosting a Brazilian adult on a Partners Project
(usually 5 - 7 days)
Hosting a Brazilian Youth Ambassador (2
months in February and March)
Hosting a Partners event (meeting, party, etc.)
Transporting/helping Brazilian visitors in my
community.
Helping to plan Partnership visits for
Brazilians (itineraries, locating resources, etc.)
between cities
Planning a Youth Ambassador's visit
(finding host families, talking to schools, seeking applicants for travel to
Brazil,etc.)
Translating written materials.
Portuguese>English; English>Portuguese.
Being an interpreter for a visitor.
Travel to Rio Grande do Sul, Brazil, on a
Partners project.
Assist with a cultural or food event
demonstrating Riograndense culture.
Make a presentation or host a booth
about Partners.
Use the box below to send us your comments, questions, etc., about matters not covered above.
Membership Levels
Payment Instructions
Sponsor
$1,000
Print Form and mail with check payable to
Patron
$500
Indiana Partners of the Americas
Subscriber
$250
to: Hal Roepke, 4806 W University Ave, Muncie IN 47304
Contributor
$100
Family
$40
To pay by credit card
Individual
$25
TO BE COMPLETED
Student
$5
To send the Form by e-mail, click "Print", then click "Save as
PDF". Then attach "Information Form.pdf" to an e-mail mesasage.
General guestions
e-mail: Jhani Laupus, President
For Membership questions e-mail: Rick Bein, Membership VP
