TIES Membership Renewal Form
1) Choose Your Individual Membership Level: Traveler
Basic
Plus ($15)
Student
Basic
Plus ($15)
Professio nal
Basic ($75)
Premium ($100)
Discount code (if available):
I would like to renew now for
Supporting ($50)
Lifetime ($100)
Premium Plus ($125)
Lifetime ($1500)
*Currency in USDollars & FeesApply For One Year
1
3 years or years.
2
2) Contribute to TIES Ecotourism Fund: Make a tax‐deductible donation to support TIESEcotourism Fund. The International Ecotourism Society is a 501 (c) (3) nonprofit organization. $50, $100, $250, $500 or any amount you can give will support TIESwork towards conservation and communities. (Learn more: www.ecotourism.org/Give)
$25
$50
$100
$150
$250
$500
US$ Other Amount
3) Your Contact & Payment Information: First and Last Name:
E-mail Address: ___________________
Card Type:
MasterCard
Member ID: ________
___________
Visa
Tel: ____________________
Discover
American Express
Name on Credit Card: Card Number :
Exp. Date:
CVV #:
(See3-digit CVV code on the back of your credit card. AMEX cards have 4 digits on the front.)
Total Amount: US$
Signature*:
* If you want to submit the application form online you can type your first and last name in the signature field.
4) Submit Your Renewal Form: Pleasesend the completed form via mail, fax or email to:
Mailing Address: The International Ecotourism Society
Fax or Email: Fax: +1 202 789 7279
The International Ecotourism Society (TIES) PO Box 96503 #34145, Washington, DC 20090 | +1.202.506.5033 | www.ecotourism.org
TIES Membership Renewal Form PO Box 96503 #34145
Email: membership@ecotourism.org
Washington, DC20090, USA Thank you for your dedication to socially and environmentally responsible travel
The International Ecotourism Society (TIES) PO Box 96503 #34145, Washington, DC 20090 | +1.202.506.5033 | www.ecotourism.org