Join Today - The International Association of Burn Camps

Membership Information

You have selected the IABC Affiliate Organization membership level.

Affiliate organizations are those who have an interest in the purposes and activities of the IABC or with whom liaison would be mutually beneficial. Affiliates do not have voting privileges but may attend meetings of the membership and participate in discussion of issues before the membership.

The price for membership is $200.00 now.

Membership expires after 1 Year.

Do you have a discount code?

Account Information

Username

Password

Confirm Password

Email Address

Confirm Email Address

Full Name LEAVE THIS BLANK

Already have an account? Log in here

Organization Contact Information

This information is for internal use only and will not be displayed on your public profile.

Parent Organization Name

Primary Contact Phone

Mailing Address Line 1

Mailing Address Line 2

Mailing City

Mailing State/Province/Region

Mailing Zip/Postal Code

Mailing Country

Primary Contact First Name

Primary Contact Last Name

Primary Contact Role / Title

Other Primary Contact Role / Title

Primary Contact Email

Primary Contact Phone

Alternate Contact First Name

Alternate Contact Last Name

Alternate Contact Person Email

Alternate Contact Person Phone

Alternate Contact Person Title/Role

Other Alternate Contact Person Title/Role

Upload your logo as a PNG, JPG, or GIF

Recommended size is 200px X 100px

Membership Map Address

Show on Membership Map

Street Name

City

State

Zip Code

Country

Would you like to set up automatic renewals?

Yes, renew at $200.00 per Year.

Choose Your Payment Method

Pay with PayPal Pay by Check

Processing...