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IRSHC Membership Application

Joining IRSHC is as easy as filling out the membership form and fulfilling the requirements of membership.
Download PDF Membership form in Acrobat (.PDF) format
Download MS Word doc Membership form in Word (.DOC) format

Your membership in the Council is encouraged, and your participation in Council-related activities would be greatly appreciated.

  • Individual memberships - $25
  • Corporate memberships - $150
  • Nonprofit Associate memberships - $75
Payments may be made with check or money order to:
Indiana Rural Safety and Health Council
c/o Ernie Sheldon
Indiana State University
Dept. of Health & Safety, B-74 Arena
Terre Haute, IN 47809
 
Last updated: 22-Nov-2010 2:53 PM