Associate Membership - International Sports Heritage Association

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

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