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MEMBERSHIP FORM
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First Name:
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Middle Initial:
Last Name:
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Title:
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Organization/Agency:
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Business Address:
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City:
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State:
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Zip:
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Business Phone:
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Fax:
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Email:
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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?
Dues to be paid by:
Self
Agency
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By submitting this form, you/your agency will be billed for the cost of membership.
Copyright © 2007 Idaho Recreation & Parks Association, all rights reserved.