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MEMBERSHIP FORM
Indicates required * field
First Name: *
Middle Initial:
Last Name: *
Title: *
Organization/Agency: *
Business Address: *
City: *
State: *
Zip: *
Business Phone: *
Fax: *
Email: *
Membership Category Annual Dues:
Professional Member $ 50.00
Associate Member $ 35.00
Student Member $ 10.00
Friend of IRPA $ 25.00
Agency Member*
Includes 3 individual memberships
$ 140.00
Agency Member*
Includes 6 individual memberships
$ 275.00
Non-Profit Agency member
Must show proof on non-profit status
$ 60.00
Commercial Member:
-Option I
Includes membership dues, conference exhibit space, 4-1/6 page advertisement in quarterly IRPA Newsletter.
$ 450.00
-Option II $ 100.00
*10% Discount for any additional professional members if agency is a member
Special Interest Section (check one):
Park Resources
Therapeutic
Resources Student
Recreation Student
Tourism
Community Recreation
Aquatic
Other
What topics would you be interested in at workshops or conferences?
Would you be willing to present a topic at a workshop or conference? If yes, what would the topic be?
What areas of expertise would you be willing to share with other park and recreation professionals?
  Self  Agency*
 
By submitting this form, you/your agency will be billed for the cost of membership.
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