International Association for Computer Information Systems

International Association for
Computer Information Systems

Join IACIS

Online Membership Application Form

(Non-secure Submission) Would you prefer to print and mail your application?(.rtf file format)

The International Association for Computer Information Systems

Your Name and Title (Required)
First Name:
Last Name:
Title (Mr., Mrs., Ms., Dr.):
Institution or Firm Contact Information (Required)
Institution or Firm Name:
Address:
City:
State or Province:
Postal Code:
Country:
E-mail:
Home Contact Information (Optional)
Home Address:
City:
State or Province:
Postal Code:
Country:

For mailing, use my Business Address / Home Address

Member, if any, who sponsors me:

To Join IACIS or to Renew your Membership (includes JCIS subsciption)
		Individual membership, foreign and domestic, $95.00/year

To Subscribe to the Journal of Computer Information Systems (without membership—fill in rest of form above)
	Institutional Subscription, foreign and domestic, $395.00/year
	Back issues of the Journal, $75.00 per issue

Credit Card Payment

Mastercard Visa

Name on Card
Credit Card Number
Expiration date (MM/YY)