Membership

Application for Membership

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Secondary Institutional Contact

Last Name First Name Prefix

Title (Position) From To

Address City

State/Province ZIP Code Country

Email Phone Fax

Type of Membership

Individual membership is open to the chief executive officers of accredited and recognized universities or their equivalent.
Retired Membership is reserved for retired Presidents, Chancellors and Rectors.

Fee (USD) Individual membership – 1 Year: $700
Individual membership – 3 Years: $1890
Retired membership - 1 Year: $300
Retired membership - 3 Years: $810
From To

* Membership fees are valid from July 1st – June 30th of the payment period

Method of Payment

By filling out this section, you are authorizing payment to IAUP for the corresponding membership fees.

Method

WIRE TRANSFERS

To ensure efficient processing of wire transfers, please forward a copy of this application form along with a copy of the bank transfer document to Carmen Lamagna, Treasurer IAUP, at treasurer@iaup.org. Please make sure the member’s name and institution appear on the copy of the bank transfer, to ensure that you are properly credited.

Beneficiary:	International Association of University Presidents (IAUP)
Bank Name:	JP Morgan Chase Bank NA, London
Address:	Chaseside, Bournmouth, UK BH7 7DA
Account number:	41533670
Sort Code	60-92-42
Swift code for currencies other than US dollars:	#CHASGB2L
ACH number for transactions in US dollars:	021202337
IBAN	GB29CHAS60924241533670

CHECKS

Checks drawn on a US bank may be mailed along with this application form to:

Jason Scorza, Secretary-General, IAUP
c/o Fairleigh Dickinson University
1000 River Road H-DH2-15
Teaneck, NJ 07666

CREDIT CARD

After submitting this form you will be given an opportunity to pay with a major credit card using PayPal. You do not need to have a PayPal account.

Do not forget to submit this application form below.

Please type the characters you see in the box below