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Tuesday, March 09, 2010

IHS Application Form


Member Organization Information

Organization: 
ED/CEO:  E-mail: 
Address: 
City:   State:   Zip Code: 
Phone:  Fax: 
Organization Email:  Website: 
Submitted By: 

Membership Fees

Annual Agency Budget Annual MemberShip Fee
Under $100,000 $45
$100,001 - $250,000 $75
$250,001 - $1,000,000 $125
$1,000,001 - 5 Million $175
$5 Million and Over $225

Agency Contacts

Area Contact Name Telephone # E-mail
General Contact
Human Resources
Communications and Marketing
Education and Training
Technology Support
Website


Download Institute Membership Form (PDF)
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