Cumberland Chapter of URISA Membership Form

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Fill out the information below to submit your membership application to the Cumberland Chapter of URISA. You do not need to reside or work in Kentucky/Tennessee to be a member. For membership questions, please contact info@cumberlandurisa.org.

First Name *

Last Name *

Job Title *

Organization/School *

Preferred Address *

City *

State *

Kentucky

Tennessee

Other:

Zip *

E-mail Address *

Phone Number

Are you a URISA International Member? *

Yes

Are you a Certified GISP? *

Yes

Membership Type *

Membership dues are paid by calendar year.

Individual Membership ($25)

Student Membership ($15), please submit evidence of current half-time academic load

Payment Options *

PayPal

Check

Submit

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