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TIES Membership Renewal Form

1) Choose Your Individual Membership Level: Traveler


Plus ($15)



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


3 years or       years.


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:







US$     Other Amount

3) Your Contact & Payment Information: First and Last Name:      

E-mail Address:      ___________________

Card Type:


Member ID:      ________



Tel:      ____________________


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$     


* 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 |

TIES Membership Renewal Form PO Box 96503 #34145


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 |{82A87C8D-0B56-4149-8B0A-C4AACED1CD38}/Ind_Mem_Renew{82A87C8D-0B56-4149-8B0A-C4AACED1CD38}/Ind_Mem_Renew.doc

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