International Sustainability Indicators Network Membership For
    Print this membership form and send it with your check or money order to:
    International Sustainability Indicators Network
    PO Box 361
    North Andover, MA 01845
    Checks or money orders should be made payable to Sustainability Institute. 
    Sorry, we are not able to accept credit card payment.
    Thank you for joining ISIN!
    Mr / Ms  First Name _____________________________________________________
    Last Name  ______________________________________________________________

    Organization ____________________________________________________________

    Job Title        ________________________________________________________

    Mailing Address _________________________________________________________    
    City, State, Zip/Postal Code


    Country _________________________________________________________________
    Email ___________________________________________________________________
    Website  ________________________________________________________________
    Phone _______________________________ Fax _______________________________

Choose 1 or more of the following working groups that you are interested in joining:

____   U.S. National Indicators         ____   Indicators for Decision-Making

____   Land Use Indicators              ____   Biennial Meeting Committee

____   Curriculum                       ____    Business Indicators

____    Canadian Community of Practice


Choose 1 or more of the following scopes to describe your work with indicators:

 ____   Local                   ____   Regional         

____   State                    ____   National         ____   International

Do you want to be included in the ISIN listserv?   ____   Yes        ____   No

Do you want to be listed in the ISIN website directory?

____   List my name and email address.

____   List my name.

____   Do not include me on the website.

=============================== Membership Type =================================
I have enclosed payment for the following (check all that apply):
ISIN Individual Membership Dues         US$75    ____
ISIN Developing Practitioner Dues       US$20    ____
ISIN Organizational Membership Dues     US$200   ____
ISIN Affiliate  (no charge)                      ____
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