Facility Membership

(through 2010)


Name of Facility: Date Opened:

First Name: Last Name:

Address:

City: State: Zip:

Telephone: (Day) (Evening) Fax:

E-mail Address: WebSite:


How many sites would you like to register?

Facility 2: Facility 3:

If more than 3 facilities please e-mail info@usindoor.com with the complete list.


Preferred Form(s) of Soccer
# Fields # Fields
Indoor Soccer (with boards) Futsal Soccer (hard floor, no boards)
Turf Field (no boards) Full Size (outdoor dimensions)

Please estimate the activity at your facility connected with indoor soccer: %

Total Avg. Weekly Traffic/Turnstile (all activities):

Participation Est: Boys Girls: Adults: Teams:


Please indicate the membership benefits that most interest you:

Business Resources:
Facility Equipment: Flooring, Floor Coverings, Soccer Boards, Scoreboards
Building Construction
Insurance
Background Screening
Utility and Energy Savings
General Consulting
Credit Card Transactions
Office Supplies & Equipment
Special Mail Delivery and Shipping
Administrative Software


Revenue Generation:
Sponsorship Support
Insurance (participant accident)
Automatic Teller Machines

Specialty Products and Services:
Referee Certification
USIndoor Soccer Balls
Specialty T-Shirts
Player/Members Cards & Equipment
Websites

Other:
Networking with other indoor sports centers
Subscription to, or publicity in, GO Indoor.
Free listing & link via USIndoor.com
Discounted admission to National Conference
Free E-mail publications for facility managers
Demonstration of support for indoor soccer
National Tournament Participation
Participation on National Committee:

MEMBER AND BILLING AGREEMENT: By your providing this completed Facility Application/Renewal Form and USIndoor’s accepting payment therefor, USIndoor shall recognize the “Facility” named above (or the named individual above, if no facility is named), as a USIndoor Facility Member. You or other authorized personnel (“YOU”) may satisfy payment of Annual Facility Membership Dues (“Dues”) either by mail, including a check and this completed Form, or by credit card after clicking “Submit Form” (in either case with payment in U.S. dollars.) If you click “Submit Form,” you will be transferred to a credit card payment processor, in which case you hereby represent and warrant that YOU are duly authorized (1) to make payment by the credit card to be entered (the “Credit Card”) and (2) to agree to recurrent charges of Dues by USIndoor. Accordingly, USIndoor shall have the right to apply an annual charge for Dues against the Credit Card (whose billing information YOU may change with timely notice) on or about each anniversary date of the current transaction until cancelation by YOU by e-mail. Each annual charge shall be the prevailing Dues at the time, as published by USIndoor. To cancel or change billing information, please notify USIndoor at admin@usindoor.com at least thirty (30) days prior to any expected charge. Unless otherwise notified by YOU, USIndoor shall recognize the e-mail address provided herein as YOUR official address, where USIndoor may send all billing communications.



United States Indoor Soccer Association,
1340 N. Great Neck Road, Suite 1272-142 | Virginia Beach, VA 23454-2268
Fax: (509) 357-7096 | Email:
pr@usindoor.com
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