Member's Profile Form
			Membership Dues: $12 U.S. members,$15 Foreign members. Please mail this form together with your U.S. check or money order made payable to: ISCS, P.O. Box 117, North Haven, Connecticut, 06473-0117 USA
				First Name ____________________________________________________________________ Last Name ____________________________________________________________________ Street Address ____________________________________________________________________ ____________________________________________________________________ City/Town ____________________________________________________________________ State ________________________ Zip Code _____________________________ Phone Numer (with area code) ____________________________________________________________________ Business Phone Number (with area code) ____________________________________________________________________ Fax Number (with area code) ____________________________________________________________________ Email Address ____________________________________________________________________ Languages of Correspondence? ____________________________________________________________________ Interested in exchanging sand with other members? YES or NO Comments: ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________
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