International Phalaenopsis Alliance
Gift Membership Application
Note:  As a non-profit organization we must make all attempts to keep mailing cost to a minimum.   Please mail your new membership application along with the appropriate remittance to the address as shown on following confirmation page.
We Do Not Invoice for new member fees

The IPA does not charge for shipping AND we do accept          and            or     

 

Applicant Information: . . . Directions ... Please type in this form on your computer screen, then go to  confirmation page and verify that all the information is correct (if applicable, type in Credit Card Information), then print out, sign, and mail.

First Name:
Last Name:
Company:
Address:
City:  State/
Province:
  Postal/
Zip Code:
Country
Home Phone: Work Phone:
FAX:Email:
 

Select the Gift Membership:

 

As a Gift Membership, Please enroll the recipient in the Phal Digest ...
Free Member Benefit .. No Charge

Subscribe to the Phal Digest
YES
   NO

One Year Membership . . .  US and Canada      US$    36.00                    
Two Year Membership . . .  US and Canada      US$    70.00                   
One Year Membership . . .  Overseas      US$    60.00                   
Two Year Membership . . .  Overseas      US$   115.00                   

The color images in the IPA journal, 'Phalaenopsis' is funded by donations from the membership...  Please consider a contribution with your Gift  Membership to help support this popular part of the IPA  journals efforts to continue providing quality color in its issues.


   $ 10.00  $ 20.00 
   $ 15.00  $ 25.00 
 
Questionnaire: . . . Please select from the below which best describes the current orchid growing status of the recipient

They grow in/on a . . .  They are a . . .  grower  They grow for a  . . .  
Greenhouse Beginner Hobby
Windowsill Intermediate Commercial Grower
Under Lights Advanced   

Gift Givers Information:  

First Name:
Last Name:
Company:
Address:
City:                    State/
Province:        
Postal/
Zip Code:
Country
Home Phone: Work Phone:
FAX:Email:

Select Payment Method: . . . Payable in US Dollars 

               Check Number     Total:  $     

Applicant Information: . . . Directions ... Please type in this form on your computer screen, then go to  confirmation page (NEXT) and verify that all the information is correct (if applicable, type in Credit Card Information), then print out, sign, and mail.                                                      

Problems Submitting?

All rights reserved.  Revised: 27 Feb 2008 20:47:26 -0500   Copyright © 1999 by International Phalaenopsis Alliance.