New or RenewalMembership.

Date

Month Day Year
Date
New Membership or Renewal
Name *

First Name Last Name
E-mail
Phone Number

Area Code Phone Number
Address

Street Address

Steet Address Line 2

City State

Zip Code
Please select:

Printed newsletter delivered via USPS mail Electronic newsletter delivered via email. Be IAHF Green! Save money, save trees! Delivered via USPS mail and email
Each year we produce a membership directory which is distributed ONLY to IAHF members. Inclusion of your name, phone number and email address is automatic. We never publish your street address. If you would like to be excluded, or have some of your information excluded, please indicate below:
Exclude ALL my information Exclude my phone number Exclude my email address
If this is a Family or Patron Membership, please enter 2nd name here:

First Name Last Name

Choose Membership Level

Individual $ 60.00

Family $ 80.00

Patron $ 175.00

Student $ 20.00

I would like to donate an extra $15 to cover the cost of printed newsletters. $ 15.00

Total $ 0.00

Payment Method

New Membership or Renewal