International
Design
Network
Foundation
91 Grand Street
New York, NY 10013
idnf@designnet.org

Membership Application Form
Mailing address is
Home Business
Name : (first) (last)
Firm/Institution : Title :
Street Address :
Street Address: (continued)
City / State / Zip / Country :
Phone : (home) (Business)
Fax : E-mail :
Student $25
Regular $50
Corporate $250
Donor $1000
Patron $3000
Benefactor $5000 (or above)
Payment method :

Check payable to IDNF

Enclosed $______________________
All foreign country memberships must add 20% from the original rate
paid in U.S. dollars.
Visa American Express MasterCard
Enclosed $______________________


Membership Expired ______________________

Name on card :

Card number :

Card expiration date :

Signature :
To enroll as a member of the Internatioal Design Network Foundation,
complete this form and return it along with your payment to :

IDNF, 91 Grand Street, New York, NY, 10013-2612, U.S.A.

Please Print application, fillout and fax or mail