RENEWAL OF MEMBERSHIP

 

Mark the type of membership that you are renewing:

Individual Member

 

After checking your directory listing, provide the information below for only the fields that should be changed. Click here to check your directory listing.

 

Note * indicates required field.

Title: (Mr./Mrs./Dr./Prof./Rev./etc.) 

Position:

Postal Address:

Home Phone:

Website:                                                                 

 

* Name:

Institution/Organization:

Office Phone:

FAX Phone:

* E-mail address(es):

Skype name:

Discipline/Research Area:

Dissertation and/or other publications:

 

Mark all that apply:

Please send information about IAPCHE to others who would be interested.

        You may may not use my name as a reference.

        Names, addresses (e-mail preferred):

      1. 

      2.  

      3. 

      4.  

 

Dues

          Individual members: $35U.S. per year.  

          Donations are also welcome.

Methods of payment: credit card, check in U.S. dollars, bank transfer.

In case of financial hardship, you may also request that your annual dues be waived.

Additional Comments and/or Questions.

 


 

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