Membership Form | GIPA | German International Parent Association | Miami-Dade County, FL

German International Parent Association | Miami-Dade County, FL info@gipa.org

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GIPA MEMBERSHIP FORM

Order Number

Choose Your Membership Level *

Basic - $100 per child

Silver - $250 per family

Gold - $500 per family

Diamond - $1000 per family

How many children do you have in the German program? *

One

Two

Three

Four

Five

Family Last Name *

This is how we will address you in communications (e.g. Dear Family _______)

MOTHER'S / GUARDIAN'S INFORMATION

First Name *

Last Name *

Email Address *

Phone Number *

Mother/Guardian would like to volunteer for:

Oktoberfest

Gala

GIPA Book/Yearbook

Other (please note in the box on the right)

Other volunteering interests:

FATHER'S / GUARDIAN'S INFORMATION

First Name

Last Name

Email Address

Phone Number

Father/Guardian would like to volunteer for:

Oktoberfest

Gala

GIPA Book/Yearbook

Other (please note in the box on the right)

Other volunteering interests:

CHILD ONE'S INFORMATION

First Name *

Last Name *

School *

Grade Level *

Paypal Payment Due

Total Payment Due: $

Via PayPal

Please indicate that you agree to the Terms and Conditions by checking the box below. After you click the "Pay with PayPal" button, you will be redirected to the PayPal website to complete your payment. A PayPal account is NOT required.

Terms & Conditions Acceptance

I/We Agree that payment constitutes agreement to receive email communication from GIPA. Unless I inform GIPA otherwise in writing, I authorize release of pictures taken at GIPA events and/or at school and their use and publication consistent with GIPA's mission. Pictures may include student photos taken for the annual GIPA Book.

Each membership level includes…

BASIC

Letter documenting your tax-deductible contribution
Discounts for GIPA Gala tickets and other events

SILVER

All benefits of Basic membership, plus…
1 GIPA t-shirt (any size)
Recognition in the GIPA Book and on the website

GOLD

All benefits of Silver membership, plus…
1 GIPA drawstring bag

DIAMOND

All benefits of Gold membership, plus…
20 tickets for use at Oktoberfest ($20 value)
2 complimentary tickets to the GIPA Gala (over $100 value)

JOIN OUR EMAIL LIST

In addition to general announcements, add me to: Sunset West Lab Carver Coral Reef Newsletter ONLY

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ASSOCIATE ORGANIZATIONS

German Consulate General Miami
German American Business Chamber
German American Social Club

CONTACT US

G.I.P.A.
P.O. Box 431081
Miami, FL 33243-1081
info@gipa.org

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© 2017 German International Parent Association