Associate Membership - International Sports Heritage Association

25%

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

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
The ISHA office will contact you regarding payment options upon receipt of your membership application.

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.

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Primary Contact Person