The Party that CARES
INDEPENDENT CITIZENS MOVEMENT OF THE VI, INC.
MEMBERSHIP DUES APPLICATION
Please complete all sections below.
Email application to: icmpartystx@gmail.com and send the original application to
P.O. Box 9036, Christiansted, VI 00820
c/o ICM Party St. Croix Chapter Treasurer
along with your $40 Annual Membership Fee made payable
Independent Citizens Movement of the VI, Inc.
(Please Note that you must be current with your dues in order to vote on internal matters of the
Party)
APPLICANT INFORMATION
Name:
Email: Home Phone: Cell:
Mailing address:
City: State: Zip Code:
 Membership Categories, (annual unless otherwise noted):
__$40 Regular __$100 (Family, no more than 4 members
__$500 (Business) __$1,000 (Lifetime, one-time payment)
NOTE: Meetings are the 1st Tuesday of each month
Signature:____________________________________________ Date:__________________________
Independent Citizens Movement Party of the VI, Inc.
P.O. Box 9036, Catherine’s Rest, Christiansted, VI 00820
St. Croix Chapter Email: icmpartystx@gmail.com | ICM on Facebook: http://groups.to/icm_party/
Additional Contact Info.: Genevieve Whitaker, Chapter President @ 227-4361