Individual Membership

Individual membership is open to all individuals interested in the work of the International Coalition of Sites of Conscience.

BENEFITS

How to Apply or Renew

Applicants may use either method to submit their contact information and payment:

To apply online, please fill in the requested contact information in the fields below, indicate your choice of membership category, and choose your method of payment.

For more information about membership or methods of payments, contact the Coalition at +1 646 755 6187, or email coalition@sitesofconscience.org.

 

  • New application
  • Renewal
Name
Professional Affiliation
Address
City, State or Province, Postal Code
Country
Phone
Fax
Email Address

Individual membership is non-transferable.

    Please select a membership donation amount.

  • $500
  • $200
  • $100
  • $50
  • Other $____________ (Please specify amount)

How did you learn about the Coalition?

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