Member Society / Association Form

Please select one of the following options: *

I am submitting a new application for an organization to be listed on ISOM.CA

I am updating an existing organization listed on ISOM.CA

Name of Primary Contact *

Contact Phone

Contact Email *

Name of President

Website/URL

Please include http://

Name of Society / Organization *

Date Formalized

Number of Active Members

Address

City

State/Province

Zip/Postal

Country

Executive Board Members

Society / Organization Objectives

Upload your the logo of your society / organization. Preferred format is 600 x 400px in PNG or JPEG

Maximum file size: 2MB

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