Membership Application

Instructions

For Pioneer and Individual Membership Applications, complete this form.

For Organizational and Executive Membership Applications, complete this form with the primary contact and then log in to add additional members.

Log into Info Hub
Go to My Info on the left side panel
Click Related Contacts
Add Contact
- Add up to TWO (2) contacts if Organizational Membership
- Add up to FOUR (4) contacts if Executive Membership
- Add ONE (1) contact per Additional Member add-on

Select An Option

Executive $1500 Annually

Organizational $750 Annually

Individual $195 Annually

Pioneer $45 Annually

Enter Contact Information

Prefix (i.e. Mr. Mrs. Dr.)

First Name

Last Name

Suffix (i.e Jr. Sr. III)

Designations

E-mail

Family NameBusiness Name

Please select a valid membership option and fee item if exist

Environmental Information Association