IASI Membership Application Form

Type of Membership requested:							
Name of Organization:											
Name of person (for Personal Membership or name of Organization's Contact Person with position title):
													
Email Address:									

Full Address of Organization or Person:									
													
Telephone:						 Fax:						

Organization's Website address:									

Date 							Signature					

Payment may be made by cheque or bank transfer
In $ (USD): 
IASI Bank
Nordea Bank Finland Pld
Kauppakatu 18, FIN – 40100 Jyväskylä - Finland
to the US Dollar Account: SWIFT-Code: NDEAFIHH - IBAN FI89 1045 4200 0000 62
In € (EUR), using the exchange rate (USD=EUR) on the day of payment:
To the Euros Account: SWIFT-Code: NDEAFIHH - IBAN FI43 1045 3000 1432 88
Please send this membership form to:
Anitta Pälvimäki
LIKES-Tietopalvelu
LIKES Information Service for Sport and Health Sciences 
PO Box 35 (B)
FIN-40014 Jyväskylä
Tel: +358 14 260 3390
Fax: +358 14 260 3922
Email: anitta.palvimaki@library.jyu.fi
(Note: a cheque or US money order may also accompany the membership form. Also note that membership fee payments by credit card cannot be accepted at this time)