IMIYA Membership Form

Name:___________________________

Address:___________________________

City, state, zip:___________________________

Phone:___________________________

E-mail:___________________________

What year are these dues for?______

Are you a new or a renewing member?

If you are renewing, what is your member number? _____ (should have been sent to you on the postcard)

Are you a yoga teacher?

yes      no      not yet, but plan to be     

If yes, are you IYNAUS certified?

yes      no      not yet, but plan to be     

If yes, date of certification:___________________________

Certification level:___________________________

Other areas of pertinent expertise or comments:


If you are a certified Iyengar teacher . . .
Dues are payable annually by December 31.
Dues are $70 (includes Yoga Rahasya journal from India)
Make check payable to: IYNAUS

If you are NOT a certified Iyengar teacher . . .
Dues are payable annually by December 31.
Dues are $50 (without Yoga Rahasya)
Dues are $70 (with Yoga Rahasya)
Make check payable to: IMIYA