IANetwork Business
Membership Application Form

IANetwork offers free web space to select Adventure, Travel and outdoor oriented businesses.  By offering our members your best possible discount, IANetwork will help you promote your business worldwide using the power of the internet.

Note: Please use the full legal names, for you and your business.

First Name:            Middle Initial:  

Last Name:    Title:  

Bus. Name:

Bus. Address:

City:       State/Region:

Zip/Postal Code:    Country:

Bus. Ph.: Ext: Home Ph.:

e-Mail:   

Web Site:  

Are you working with a IANetwork Rep. already?   Yes   No

If yes please enter His/Her Name  

What category best describes your business services?

Ballooning           Bed & Breakfast         Biking           Camping

Canoes/Kayaks  Culture/Arts              Eco Tours       Equestrian

Fishing             Golf                          Hang Gliding   Hiking

Hotel/Motel       Laser Tag                  Motor Sports   Paintball

Parasailing       Personal Watercraft    Public Parks    Sailing

SCUBA/Snork.  Skiing                       Skydiving         Travel

Whitewater     Other:

What is the best discount you can offer the IAN Members?

How many Full-time employees do you currently have?

  

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