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IFTA Membership Application

Please fill out the application fully. There may be several steps depending on membership type and payment method. All fields marked with a red asterisk (*) are required. Please note: to prevent fraud and other misuse, this application needs to be finished within 30 min, otherwise it resets. Javascript is also required for the application to work properly.

**  If you have difficulty filling out the membership form, click on this form, complete it and fax or scan it back to the Secretariat, wjhiebert@aol.com 

Membership Dues - select one *
  1. *    First Time Membership
    Renewal/Reactivate Membership

  2. IFTA uses the country categories established by the United Nations' Human Development Index. Category Definitions

  3. Category I Countries
    Category II Countries
    Category III Countries
  4. See Note 4
  5. See Note 2
  6. See Note 3
  7. Lifetime Membership (One-Time Fee) - $1000
  8. Voluntary Contribution Only

    • Note 2: Entitles Group to three (3) individual memberships. Complete names, addresses including country, phone, fax, and email addresses must be provided. Places to fill out information will be provided on next page of application.
    • Note 3: Allows Organization/Association to have two (2) individual memberships, e.g., the president, or executive director who may participate and for 1 officer to receive free Congress registration. Complete names, addresses including country, phone, fax, and email addresses must be provided.
    • Note 4: A student is defined as a full-time student in a degree-seeking graduate program.
Vountary Contributions
Member
  1. Name
    Last Earned Degree
    Gender *
  2. Mailing Address
    1.      
  3. Telephone Contact Information *
  4. Email *
    IFTA uses your email address as the primary means of communication. If you haven't heard from IFTA, check if IFTA has your correct email address.
    If your email address is at a university or other organization with anti-spam filtering, please have your server administrator white list the IFTA email address.
  5. New Members - How Did You Hear About Us?
Payment Method *