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International Association for Sports Information

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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:

  1. Institutional Membership for institutes, organisations, schools, libraries (US $75.00)
  2. Personal memberships for individuals (US $50.00)


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


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