6200 Aurora Avenue, Suite 200W
Des Moines, IA 50322-2864 USA
Phone: 800.369.6337 - 515.276.3344
Fax: 515.276.8655
E-Mail: info@foodprotection.org

To Become a Member AND Register for IAFP 2008 Click Here

MEMBERSHIP APPLICATION

Prefix Prof. Dr. Mr. Ms.
First Name Middle Initial
 Last Name
 
Employer   Job Title
Mailing Address (Please Specify: Home Work)
 
City   State/Province
 
Postal Code/Zip + 4   Country
 
Telephone   Fax
  IAFP occasionally provides Members' addresses (excluding phone and E-mail) to vendors supplying products and services for the food safety industry. If you prefer NOT to be included in these lists, please check the box.
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IAFP Membership
    (Member dues are based on a 12 month period and
    include the IAFP Report)		   $50.00 $50.00 $50.00
 
  IAFP Optional Benefits
  Food Protection Trends Add: $60.00 $75.00 $90.00
  Journal of Food Protection Add: $150.00 $170.00 $200.00
  Journal of Food Protection Online (no print copy) Add: $36.00 $36.00 $36.00
  All Optional Benefits  (Best Value) Add: $200.00 $235.00 $280.00
 
Affiliation Dues (optional)
     To join more than one Affiliate, contact the Association office.
Student Membership
     (Full-time student verification required)		 $25.00 $25.00 $25.00
 
  IAFP Optional Benefits
  Food Protection Trends Add: $30.00 $45.00 $60.00
  Journal of Food Protection Add: $75.00 $95.00 $125.00
  Journal of Food Protection Online (no print copy) Add: $18.00 $18.00 $18.00
  All optional benefits   (Best Value) Add: $100.00 $135.00 $180.00
 
  Your tax deductible gift to the Foundation Fund (optional)
     Change contribution to desired amount or 0 to decline
     contribution

 
  Sustaining Membership
(JFP Online included. Recognition for your organization
and many other benefits. Contact IAFP for details.)		 Gold
$5,000.00		 Silver
$2,500.00		 Sustaining
$750.00
All prices include Shipping and Handling
(Prices effective through August 31, 2007)

Payment must be included for order to be processed.
Payment must be made in US Funds on US Bank



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Name as it appears on Card
 Card ID Number

Visa, MasterCard and Discover: See 3-digit Card ID number on the back of the card after account number.
Amex: See 4-digit, non-embossed number printed above your account number on the face of the card.