International Association for Sports Information (IASI)
Membership Application Form
To become a member of IASI, print this page and mail it to :
- IASI
- c/o Clearing House
- Espace 27 septembre (46ième étage)
- Boulevard Leopold - 11, n'44
- B - 1080 Brussels
- BELGIUM
IASI welcomes new members and offers two kinds of memberships:
- Institutional Membership for institutes, organisations, schools, libraries (US $75.00)
- Personal memberships for individuals (US $50.00)
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I herewith apply for an IASI Membership:
Name of Organisation or Person:
________________________________________________
Full Address of the Organisation or Person:
__________________________________________________________
__________________________________________________________
__________________________________________________________
__________________________________________________________
__________________________________________________________
Name and Position of Organisational Representative:
__________________________________________________________
__________________________________________________________
Telephone: ___________________ Fax: __________________
Email: _____________________
Payment by Cheque or Bank transfer to:
IASI Bank US$ Account No 86.40.30.266 Bank of America, Amsterdam SWIFT BOFANLNX.VSB Bank Archimedeslaan 6, 3584 BA Utrecht The Netherlands
Date: __________________________
Signature:________________________________________
Please enclose informative literature on your organisation
IASI
c/o Clearing House Espace 27 septembre (46ième étage)
Boulevard Leopold 11-n'44
B - 1080 Brussels
Belgium
Please send your questions and comments about this site to: IASI home page
© copyright 1997-2000 International Association for Sports Information
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