ISSA Club Information Form
1
2
3
4
5
6
7
8
9
10
11
12
January
February
March
April
May
June
July
August
September
October
November
December
ISSA Region:
Select Month
Club Officer
Elections Held:
or print through your web browser and mail to:
Diane Childs
ISSA Membership Committee Chair
709 Buchanan Street
Manchester, IA 52057
Thank you for taking the time to update your information.