Associate Membership - International Sports Heritage Association

Step 1 of 4

Name of Organization*
Mailing Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone*
Fax
Email*
Website

Primary Contact Person
Primary Contact Person*
First Last
Title
Email
Direct Phone
Direct Fax
Street Address (if different than above)
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

About the Organization
Describe Your Organization
Why Do You Wish to Be a Member of the ISHA?

Dues Payment
Check the appropriate dues category:*
- For-Profit Corporation (annual dues) - $ 275.00 USD
- Non-Profit Organization (annual dues) - $ 185.00 USD
- Individual (annual dues) - $ 185.00 USD
NOTE: First year dues include a $50 enrolment fee. Renewal dues are $50 less than the above fees. Should your membership lapse, the $50 enrolment fee will apply for reinstatement.*
- First year enrolment
- Membership renewal
Total
$0.00

Credit Card

Cardholder Name

Card Details

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