The ICON Foundation Membership Form

THE ICON FOUNDATION

Healing Hearts… Saving Lives!
About the ICON Foundation
The ICON Foundation is an Internationational Organization whose missions include the provision of basic health and educational neccessities to the needy in Cameroon, eradication of Mental Health Stigma, promotion of Mental Health Awareness, and Empowerment of International Students living in Germany.
To become a member, please take a moment to fill out this form.
Personal Data
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*

Area CodePhone Number
E-mail*
example@example.com

Branch Specifications
What Branch of The ICON Foundation would you love to work with? (depending on your location)

Charity and Care of the Needy (Cameroon)Mental Health Awareness (Germany)Youth Empowerment (Germany)
Name of person or organization that referred you to The ICON Foundation

Membership Fees
Please choose your membership level

Monthly (2,50€)Annually (30€)
Your payment of membership fees is crucial to support our organization's mission, fund expenses, host events, and sustain our community impact.

Payments could be made here
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THE ICON FOUNDATION