Affiliate Member Registration

Affiliates are individuals or organizations that want to maintain a direct “connection” with our work and help sustain its development. Basically, Affiliates aim to keep in touch and are willing to contribute financially in a supportive relationship with the institute.

    Name (Affiliate individual membership)

    -OR-

    Name (Affiliate organization membership)

    ADDRESS

    Individual Membership levels (please choose)

    Organization Membeship levels (please choose)

    Click here to submit this form and then click on the shopping cart option below or decide to use one of the other options (clicking one of those choices is not necessary).

    Registration Fee payment options (please choose)

    – Pay via a credit card here through the Sourcebook shopping cart: clicking one of those options will add your choice in the shopping cart.

    Personal -- $20.00
    Professional -- $35.00
    Organizational -- $50.00
    Structural -- $100.00

    – Pay via Paypaol or Zelle to iee1aol.com, inserting “membership fee” in the record.
    – Printing this completed registration form and sending it with a check in USD drawn on a US bank for the membership level selected to IEE, PO BOX 115, Greenville, WV 24945

    Please Note

    Your membership will not be completed until payment is received. At that time, a confirmation notice will be sent.
    Let us know if there is a problem.