Please print out the following form and mail it to the address at the bottom to receive your materials. You can also view and print the form in PDF format. If you wish, you may also download and fill out a Microsoft Word version of this form. Once completed, save the document to your hard drive and send it to us by email as an attachment.
Date: _____________________________ IFIA Americas Committee Member?: YES NO
| Shipping Address | Billing Address | |
| Name: | ||
| Company: | ||
| Address: | ||
| Phone: | ||
| Fax: | ||
| PUBLICATION | QUANTITY | PRICE | TOTAL | ||
| English | Spanish | Member | Non-Member | ||
| Training Record Books | $2.00 | $8.00 | |||
| Test Question Books | $5.00 | $20.00 | |||
| Subtotal | |||||
| Shipping and Handling Within the US* | Up to $50
$15 |
$50.01 – $150
$25 |
$150.01 – $300
$35 |
Over $300
$50 |
|
| TOTAL FOR THIS ORDER | |||||
*For rush orders, you may provide us with your Fed-X, UPS or DHL account number. For international orders, you must provide us with your shipping account number. A $10 handling charge applies to all orders shipped using your account.
Circle One: Fed-X UPS DHL Account Number:_____________________________________________________
Total Amount Enclosed**: $_______________________________________________
Send to:
| IFIA AC | Phone: 703-533-9539 | |
| 3942 N. Upland Street | FAX: 703-533-1612 | |
| Arlington, VA 22207 | E-mail: ifianac@aol.com |
**Payment must accompany all non-member orders. Billing is available to member companies if billed to their US affiliate. Please allow 2 weeks for delivery.
