Contact Information

Public Information

This information will be made public on our website.

Public Address
Private Information

This information is for internal use only. It will only be visible to you and IPSA.

Contact 1
This is the email address that will be associated with your institutional account from now on. You may use it instead of your given username to login to the IPSA website. Please note you cannot use an email address that is already associated with an IPSA account (for example: if you are already an individual member, both accounts could not share the same email address).
Shipping Address
Billing Address
Financial Reference (Fiscal Identification) Number

Please fill-in any tax numbers or other requirements you need to be shown on your IPSA invoice/receipt.