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Membership Application

Please complete the application form and mail payment to:

Nigeria Community in Milwaukee Inc.
8028 W. Appleton Ave
Milwaukee, WI 53218
Phone: (414)299-9019
Fax: (414)463-3366

Annual dues is $150.00 (application will be processed once payment is received).

First Name:  
Last Name:  
Marital Status:
Email:    
Home Phone:  
Job Title:
Address:
City:
State:
ZIP Code:
In Milw. Area Since:
In USA Since:
Copyright © 2010 Nigeria Community in Milwaukee, Inc.