Food Protection Trends - October 2012 - (Page 672)
Membership application
Prefix ( ❏ Prof.
❏ Dr.
❏ Mr. ❏ Ms.)
First Name _____________________________________ M.I. ______ Last Name ______________________________________ Company __________________________________________________ Job Title ________________________________________ Mailing Address _____________________________________________________________________________________________
Please specify:
❏ Home
❏ Work
City ___________________________________________ State or Province ___________________________________________ Postal Code/Zip + 4 ______________________________ Country __________________________________________________ Telephone # ____________________________________ Fax #_____________________________________________________ E-Mail __________________________________________
❐ IAFP occasionally provides Members’ addresses (excluding phone and E-mail) to vendors supplying products and services for the food safety
US $ 55.00 Canada/Mexico $ 55.00
industry. If you prefer NOT to be included in these lists, please check the box.
MEMBErsHIPs
International $ 55.00
❏ IAFP Membership
(Member dues are based on a 12-month period and includes the IAFP Report)
Optional Benefits:
❏ Food Protection Trends ❏ Journal of Food Protection ❏ Journal of Food Protection Online ❏ All Optional Benefits – BEST VALUE!
Add $ 60.00 Add $150.00 Add $ 45.00 Add $200.00
$ 75.00 $170.00 $ 45.00 $235.00
$ 90.00 $200.00 $ 45.00 $280.00
❏ student Membership
(Full-time student verification required)
$ 27.50
$ 27.50
$ 27.50
Optional Benefits:
❏ Student Membership with FPT ❏ Student Membership with JFP ❏ Student Membership with JFP Online ❏ All Optional Benefits – BEST VALUE!
Add $ 30.00 Add $ 75.00 Add $ 22.50 Add $100.00
$ 45.00 $ 95.00 $ 22.50 $135.00
$ 60.00 $125.00 $ 22.50 $180.00
SUSTAINING MEMBERSHIPS ❏ GOlD ❏ sILvEr ❏ SUSTAINING
Recognition for your organization and many other benefits. $5,000.00 $2,500.00 $ 750.00
Contact the IAFP office for more information on the Sustaining Membership Program.
Payment must be enclosed for order to be processed • US FUNDS on US BANK
❏ Check Enclosed ❏ Visa ❏ Mastercard ❏ American Express ❏ Discover
CREDIT CARD # _________________________________________________________ CARD ID # _________________________ExP. DATE __________________________
* Visa, Mastercard and Discover: See 3-digit Card ID number on the back of the card after account number. American Express: See 4-digit, non-embossed number printed above your account number on the face of your card. *
TOTAL MEMBERSHIP PAYMENT
$
_____________
All prices include shipping and handling Prices effective through August 31, 2013
SIgNATURE _____________________________________________________________
4 Easy Ways To JoIN
PHoNE +1 800.369.6337; +1 515.276.3344 FaX +1 515.276.8655 MaIL 6200 Aurora Ave., Suite 200W Des Moines, IA 50322-2864, USA WEB sITE www.foodprotection.org
672 FOOD PROTECTION TRENDS | OCTOBER 2012
http://www.foodprotection.orghttp://www.foodprotection.org
Table of Contents for the Digital Edition of Food Protection Trends - October 2012