Credit Card Application Through a secure Pay Pal transfer (you do not need a
Pay Pal account to do this)  OR,
 print & send in the application below via
regular mail
                       IPAT Membership Rates

             U.S.A. Residents
              Current IPAT Member's Yearly Membership =                 
        
                                  
  
$42.00_____________________________________________________>




              New Member or Renewal of Membership =  
                                              
$47.00*_____________________________________________________>





                                      
    
NON-U.S.A Residents

              Current IPAT Member's Yearly Membership =                   
$47.00    (includes out of country mailing but does not include airmail
rates)_____________________
__________________________________>







   
  If you live in Canada and want to add l air mail service added ($16.00)
click here______
______________________________________________>





                                                                                                                     

    
 If you live in Mexico and want to add air mail service ($21.00) click
here______________
__________________________________________>







 If you live in Australia, New Zealand and Japan and want to add air mail
service ($42.00)
                                                                                                                    
    click here_____________________
____________________________>







   
If you live in any  other country other than those above and you want to add
air mail service
                                                                                                                     
                               ($36.00), click here__________________
____________>







                  
  New Member OR Renewal of Membership =
                
$52.00*  (includes out of country mailing - but does not
include airmail rates)___________________
_______________________>


                                                      



                                                                    
   
 If you live in Canada and want to add air mail service added ($16.00)
click here__
_________________________________________________>







   If you live in Mexico and want to add air mail service ($21.00) click
here_______________
________________________________________>







   
 If you live in Australia, New Zealand and Japan and want to add air mail
service ($42.00)                                                                                                                     
    click here_________________
________________________________>






 
 If you live in any  other country other than those above and you want to add
air mail service                                                                                                                   
  
($36.00), click here_____________________________________________>





             All Checks must be payable through a U.S.A. Bank.
 Visa
            and Mastercard are accepted but no other credit cards are
            accepted other than these two (unless you have a Pay Pal
            account and pay via Pay Pal above).

             Membership dues are for one (1) calendar year which runs
             from January 1 - December 31.  Dues are considered as
            delinquent on January 10th and membership will be on a
            renewal basis after that date.

            Mail or telephone payments to:


                                  IPAT, Inc.
                                  Box 1807
                                  Grapevine, Texas 76099

                                  Fax:  817-421-7643
                                  Phone:  817-251-1185

           Name: ________________________________________

           Address 1:_______________________________________

           Address 2: _________________________________________

           Address 3: ________________________________

           City: _________________________________

           State or Province: __________________________

          Zip Code: __________________    Country: _________________

          Telephone: ________________      Fax: ___________________

          E-mail: _______________________________________

          Enter either your Visa or Mastercard information below:

                Visa Credit Card #:________________________________________
          or
               Mastercard Credit Card #:___________________________________

        Expiration Date:  Month ___________ Year_____________

       Type or Print your Name as it appears on your credit card

       NAME:________________________________________________
       +++++++++++++++++++++++++++++++++++++++++++++++++   
OPTIONAL -  AIR MAIL DELIVERY
OPTIONAL -  AIR MAIL DELIVERY