Testing New Membership Entry Membership FormPlease enable JavaScript in your browser to complete this form.Name *FirstLastAdditional NameFirstLastOnly for couple membership.Address *IMPORTANT: Please enter your FULL postal address, including ZIP/Postcode and Country.Phone Number *Email *EmailConfirm EmailCurrent ICCC membership status *I am renewing my membershipI am applying for new membership (i.e. never been a member before)I am renewing a lapsed membership (e.g. older than 1 year)Membership NumberFor renewals. Do not panic if you have forgotten it, we can probably find your number.Personal contact information sharing *I agree to share my addressI agree to share my phone numberI agree to share my email addressI do not want to appear on the list at all (choosing this option will override all other selections)i.e. name, address, phone, email in the ‘Members List’ in the secure ‘ICCC Members Area’ on the website. Please select ALL the items you wish to share with other ICCC members.Membership Level (Price US$) *$30 per one Single (U.S.)$35 per Couple (U.S.)$40 per Family (U.S.)$40 per International Single (outside U.S. incl Canada)$45 per International Couple (outside U.S. incl Canada)$50 per International Family (outside U.S. incl Canada)Payment Method *I will use PayPalI am going to mail a checkGDPR Agreement *I consent to having this website store my submitted information so they can process my inquiry.Submit