Sculpture.org

Join or Renew as an Institutional/University Member

Please complete the information requested below, print and return to the International Sculpture Center.

Contact Name: ____________________________________Today’s Date: _____________
Name of Institution: _________________________________________________________
Mailing Address: ___________________________________________________________
City: _______________ State: ________ Zip: __________ Country: __________________
Tel: __________________ Fax: ___________________ Email: ______________________
Payment ( )Check or Money Order enclosed (payable to ISC in U.S. dollars only) ( )Please bill my: ( ) Visa ( )Master Card ( )American Express Card Number: ___________________________________ Expiration Date: ____________ Signature: _________________________________________________________________
Please indicate membership type Note: North America includes the United States, Mexico and Canada. The remaining countries are classified as International
Type ( )New University Membership ( )Renewing University Membership	Cost ( )$170 North America ( )$190 International

Please complete the information requested, print and send to:

ISC Headquarters
14 Fairgrounds Road, Suite B
Hamilton, NJ 08619-3447
Tel: 609-689-1051 Fax: 609-689-1061
Email: isc@sculpture.org