Associate Membership Information Request

NOTE: This is NOT a membership application. It is simply a request for more information.

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Please take a few moments to tell us a little about yourself and your company so that we are able to send IHRSA information that addresses your immediate needs.

Feel free to call us if you have any questions: 888-640-9580.


Fields marked with (*) are required; we are unable to process incomplete forms.

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Your Name

        

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Your Title

   

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Company Name

   

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Company Mailing Address



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Company Physical Address
(if different from above)



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Phone

 

Fax

 

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E-mail

 

Web site/URL

 

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Please provide us with a brief description of the product of service you wish to market to health clubs:

 

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When is the best time of day to contact you (please answer based on your own time zone)?

If Other, please specify below: