Join The International Perfume Bottle Association

INTERNATIONAL PERFUME BOTTLE ASSOCIATION
MEMBERSHIP APPLICATION

If you'd like to join IPBA now, please print this form out,fill it in and
send with your check as indicated below. If you'd like more information,
email Aunt Judy's Attic, and request a membership brochure.

 
*Name:
*Address:
*City: *State/Prov:
*Zip/Postal Code: Country:
Phone: Fax:
Email:
Card Number: __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __
Exp. Date: _____/_____
Card Type: _____ Visa _____ MasterCard
   
Signature: ________________________________________
Print my address listing in annual directory.
Yes             No

Referring Member:

Collecting interest: (optional - information given will be included with your Directory listing. Examples: "Czech and Cut Glass Bottles", "All Types of Bottles", "Commercial Only", "DeVilbiss", "Mini's", etc...

Membership Fees

The IPBA is a non-profit organization est. 1988.
Dues cover one or two people at the same address.

$45.00 USA

$50.00 CANADA - Canadian check equal to $45 U.S. dollars.

$55.00 Elsewhere - Please pay by foreign cheque equal to $50 U.S. dollars.
Make checks payable to "IPBA"
Cancelled check is your receipt.

RETURN APPLICATION TO:


 

  

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