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IAGIM - Drug Development Association

E-mail Membership Form (IAGIM Application Form 2010 to 2015)
IAGIM Membership Package: [CLICK]

Add your information & details below and then click submit button to register your membership. Check credit card number with ID security number (CCV) and you are now registered with IAGIM
.

No credit card company can process an international credit card without the statement billing address and the 3 or 4 digit security number. To obtain your credit card security ID (CCV) review the back of your credit card.


IAGIM - Global Leaders in Generic & Innovative Drug Research & Development

Card Information  
   
Card Holder Name
Card Holder Billing Address
e-mail
Telephone
Fax
Membership Period
Credit Card Type
Credit Card Number
Expiration Date
Card ID (CCV) Security (back of card:) Your Card ID (CCV) Number
Card Holder's Signature on request Always remember to sign the request
   
Enter the verification code:


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IMPORTANT Information
Remember -. Membership is for 12 continuous months or longer - no matter which month you start your membership.

SPECIAL SUBSCRIPTION After September 30th - the last quarter (Oct., Nov. and Dec.) of the year membership subscription applies to the next year's rates - However as compensation Oct, Nov. and Dec. membership are included as 15 month subscription - instead of the standard 12 months.

IAGIM ASSOCIATION ANNUAL MEMBERSHIP FEES:

2010 - 2011 = USD $999
2011 - 2012 - 2013 = USD $1099

IAGIM General Purpose Application Form from 2010 to 2015


IAGIM Membership Documentation Package :- [CLICK]
IAGIM Membership Full Benefit Package: [CLICK]
IAGIM Membership Additional Benefit Package [CLICK]

Millennium Special
Limited Offer to New IAGIM Members


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