ICArchives : Our Members - Membership : Category B members

Category B members

Fields marked * are required.

Name, type and address of association

Name of the association *

Type of association

National Professional Association

Association Postal Box

Association Address *

Association Postcode *

Association Town *

Association State/Province

Association Country *

Association Website

Name and contact details of head of association

Title *

Last name *

First name *

Function *

Association Email *

Re-type Association Email *

Telephone

Fax

Use association postal address

TO BE COMPLETED IF DIFFERENT FROM ASSOCIATION ADDRESS

Postal Box

Postcode

Address

Town

State/Province

Country

Name and contact details of liaison officer (if applicable)

Title of liaison officer *

Last name of liaison officer *

First name of liaison officer *

Function of liaison officer *

Liaison officer Email *

Re-type Liaison officer Email *

Telephone of liaison officer

Fax of liaison officer

Use association postal address

Liaison officer Postal Box

TO BE COMPLETED IF DIFFERENT FROM ASSOCIATION ADDRESS

Liaison officer Address

Liaison officer Postcode

Liaison officer Town

Liaison officer State/Province

Liaison officer Country

Address for ICA annual membership invoice

Email for ICA annual membership invoice

Re-type Email for ICA annual membership invoice

Use association postal address

TO BE COMPLETED IF DIFFERENT FROM ASSOCIATION ADDRESS

ICA annual membership invoice Postal Box

ICA annual membership invoice Address

ICA annual membership invoice Postcode

ICA annual membership invoice Town

ICA annual membership invoice State/Province

ICA annual membership invoice Country

Address for ICA business meeting papers

ICA annual membership invoice Email

Re-type ICA annual membership invoice Email

Use association postal address

TO BE COMPLETED IF DIFFERENT FROM ASSOCIATION ADDRESS

Postal Boxfor ICA business meeting papers

Addressfor ICA business meeting papers

Postcodefor ICA business meeting papers

Townfor ICA business meeting papers

State/Provincefor ICA business meeting papers

Countryfor ICA business meeting papers

Address for ICA print publications

Use association postal address

TO BE COMPLETED IF DIFFERENT FROM ASSOCIATION ADDRESS

Postal box for ICA print publications

Postcode for ICA print publications

Address for ICA print publications

Town for ICA print publications

State/Province for ICA print publications

Country for ICA print publications *

Address for ICA-List-serv (ICA-L - list-serv of the International Council on Archives)

ICA-L subscription

ICA-L email address

ICA-L email address2

Additional membership in ICA Regional Branches. (N.B. Regional Branches may request additional membership fees). All members may join one or more of the Regional Branches of ICA.

Additional membership in ICA Sections. All members may join one or two sections of ICA

Language

I request the Executive Board of the International Council on Archives to admit the aforementioned association to membership of the Council in category B (Please, add your name) *

Date

(no date )

International Council of Archives

Our Members - Membership

Category B members

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