IAMFA Application Form

Yes, I wish to Join IAMFA as a............

_____ Regular Member, Dues $200.00

_____ Associate Member, Dues $75.00

_____ Affiliate Member, Dues $75.00

_____ Subscribing member, Dues $400.00

_____ Retired member, Dues $75.00

 

All fees are in US Dollars

Institution: _________________________________________________________

Your Name: ________________________________________________________

Title: ______________________________________________________________

Address: ___________________________________________________________

P.O. Box: __________________________________________________________

City/ State or Province/Zip: _____________________________________________

Country:____________________________________________________________

Phone: ____________________________Fax:______________________________

E-Mail: _____________________________________________________

_____ I enclose payment of $________________

_____ Please Invoice me

Mail form and payment to:

International Association of Museum Facility Administrators
PO Box 454
Bel Air, Maryland
21014-0454
U.S.A.

IAMFA's Federal Tax I.D. #52-1727721