Member’s Profile Form

Please fill out the requested information and send the form to
ISCS, PO Box 1786, Lilburn, GA 30048 USA.

Dues are complimentary for new members for the first year. After the first year the dues are $12 for US and $15 for non-US members (US currency only).

Last Name:__________________________________________________________
First Name:__________________________________________________________
Address:____________________________________________________________
____________________________________________________________________
City:________________________________________________________________
State/Province: _______________ Postal Code: ________________
Country_______________________________________________________________
Preferred Contact Phone#________________________________________________
E-Mail Address:_________________________________________________________
Mailing Preference: E-Mail _____________ Regular Mail ______________
Trade Sand: Yes _____________ No _____________
Additional Info (special interest, additional phone/FAX #’s, etc):
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________