Membership Subscription Enrollment

We look forward to welcoming you as a new or renewing member. Please enter the required information below, then press Next to continue to Payment Options.

Choose Your Membership Level

Are you joining INPS or renewing your membership?

Joining

Renewing

Purchasing a gift membership for someone else

Name of Gift Giver

Gift Giver's Email

Please complete the rest of this form using information about the Gift Recipient.

Enroll me as a...

Member Information

First Name 🛈

Last Name

Affiliation (optional)

Phone Number

Email Address

Additional Staff Members

Street Address

City

State

Zip Code

Indiana County*

*If you live out of state and know which chapter you'd like to join, enter that in the Indiana County field, or leave blank if you do not wish to join a chapter.

Membership Directory Listing

Enter your name and those of other household members(s) as you wish them to appear in the Membership Directory. Unless you direct us not to, we will include your full contact information.

My Directory Listing

My Website (optional)

Privacy Requests (if any)

Preferences

I prefer to receive the quarterly INPS Journal via

Email

Printed copy

When we publish the annual INPS Membership Directory...

I will consult the password-protected Directory online

I would like a printed copy

Our Work Is Done by Volunteers

Because we are a volunteer-led organization, we'd like to know which skills you might be able to offer to fill specific program needs (aiming for a two- to three-hour commitment to start).

When your enrollment has been submitted, you'll be directed to a Volunteer Skills Survey that will let us get to know you better. Please help us find your best fit by filling out the survey.

Payment Information

You may complete this membership subscription with a...

=PayPal account

=Credit/debit card (as a PayPal guest)

If paying with a credit/debit card, you will need to set up a PayPal guest account to enable you to manage your subscription going forward.

Thanks for opting for auto-renewal. Your credit/card or PayPal account will be charged every twelve months from now, with notice and the option to cancel, making it easy to keep your membership current.

IMPORTANT! Please mark today's date in your perpetual calendar so you know when your membership is coming up for automatic renewal. This will avoid duplicate payments that need to be refunded. Thanks.

$10 Student	$25 School / Youth Group / Library
$35 Individual / Household	$45 Organization / Agency (includes 3 memberships)
$100 Booster	$250 Patron
$500 Benefactor