To order any items, please complete and print this order form and fax it to IMA, Fax # (847) 526-3993
 

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Notice: Membership status must be current in order to receive the membership discount.

All orders will be sent via mail. A 15% handling charge will be added to the total price for all orders (10% in North America)

 
Item Name:  
Quantity/Type/Amount:        
Item Name:  
Quantity/Type/Amount:        
Item Name:
 
Quantity/Type/Amount:      
 
Your Name:
Company:
Address:
City/St/Postal Code:
Country:
Phone #:
Fax #:
EMail Address :
   
    Orders can be purchased by check, wire transfer (email info@intlmag.org for transfer information) or by filling out the credit card information below:
     
Credit Card:  
Card # Expiration:  
Card Holder Name:  
     
Signature   ____________________________________________________________