International

IASD
Affiliate
Membership Form

[ For information, see the Affiliate Page)

To become an  IASD AFFILIATE, please fill out this request form.
You will be contacted by the IASD AFFILIATE MANAGER once your organization is approved and the payment link will be given.

...or download this form here and mail to:  IASD Affiliate, 1672 University Ave, Berkeley, CA, USA, 94703

 
New Affiliate Member or Renewing Affiliate Member or change of address/contact information
IASD Affiliate Levels

Affiliate Levels
Fewer than 150 Members ($150.00)
150- 300 members ($250.00)
More than 300 members ($300)
None of the above
Name of Affiliate Group (create one if you don't have an official name)
Name of Affiliate Contact or Leader
 Street Address (of contact, or where publications sent)
 Street Address 2 if needed
City
State
Province or Territory  if needed
Zip or Postal Code
Country
E-mail
Please repeat E-mail
Main  Phone
Evening Phone
Fax
Website (of Affiliation Group, if any)

IASD Ethics
 See Ethics Page
We agree to follow IASD Ethical Guidelines Yes
No
  Check this box if you do not want your name included for distribution on the IASD Membership List?
  Occasionally, IASD provides a list of current members to organizations who wish to market books and other dream-related materials. To remove your name from such a list please check this box:
If you have other comments or communications with the Office, please use this form.