International Sculpture Center
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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: ______________________

(   )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

(   )New University Membership
(   )Renewing University Membership

(   )$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