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Renew Membership by Mail
If you wish to renew and have forgotten your account number and are unable to retrieve it through the account recovery module. Or, if your membership has expired, complete the form below, print it out and mail or fax it ( 512-607-6468) with your payment or credit card details to:
The International Palm Society
9300 Sandstone Street
Austin, TX 78737
USA
Fax: 512.607.6468
Membership Renewal - Complete, print and mail, or fax with credit card information.
(Note that IPS does not accept American Express card payments)
RENEWING MEMBER |
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| Membership Category |
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| First Name | ||
| Last Name | ||
| Address | ||
| Address (continued) | ||
| Address (continued) | ||
| City | ||
| State/Province | ||
| Postal Code | ||
| Country | ||
| Home Telephone | ||
| Office Phone | ||
| Fax | ||
| Non USA Addresses: How do you want your Palms Journal Delivered? | ||
| Airlift (no additional charge) Direct Air ($28 a year) | ||
| Do you wish to include a Donation? | ||
| Is this a gift membership | ||
| If yes: Include name and address of gift recipient | ||
| Confirmation & Renewal Notices: How do you wish to receive renewal notices | ||
| Please consider environmentally friendly email Regular mail | ||
| Payment (Note Non-US Checks must be payable on a US bank) | ||
| Amount of payment | ||
| Money Order Check Visa MasterCard | ||
| Credit Card # | ||
| Card Cerfification Number | (from back of card) | |
| Expiration Date | Month Year | |
| Signature | ||
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