Please complete the form as fully as possible to become a member of ICA Housing.

Organization Name
Address
Telephone Number
Fax Number
Website Address
Name of ICA Housing Contact
Email Address of ICA Housing Contact
Year Organization Founded
ICA Global Status

If B, Name of Organization
Brief Description of Organization
Number of Members
Number of Housing Members, if known
Number of Housing Units, if known
Types of Members
Source of Finance



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Please note if you checked B. for ICA Global Status you will need to provide a letter from this ICA Member stating their approval of your representation in ICA Housing.