Join IASC

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Name:_________________________________________________________

Firm:__________________________________________________________

Title:__________________________________________________________

Firm Address:___________________________________________________

City:_____________________________State:_________ Zip:____________

Firm Phone:___________________________ Fax:_____________________

Email Address:__________________________________________________

Home Address:__________________________________________________

City:_____________________________State:_________ Zip:____________

Home Phone:___________________________________________________

Proposed By:___________________________________________________

Annual Dues: $50.00 (enclosed)

I wish to make a donation of __________________ (enclosed)


Send to:
The Intimate Apparel Square Club
326 Field Road
Clinton Corners, NY 12514