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IAGIM - Drug Development Association


E-mail Membership Form (Application form 2007-2009)
IAGIM Membership Package: [CLICK]

Fill in the e-mail form below and fax your credit card details on your company letterhead. Fax your credit card details on our application form or your institution's letterhead to our secure US fax number +1-561- 431-2620. Add your information & details below and then click submit button to register your membership. Fax 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 Internet Security

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 Fax Always remember to sign the fax
   
Enter the verification code:


IMPORTANT Information
Remember the credit card holder must accurately provide the card statement billing address and always sign the fax to prevent any possible misuse. Membership is for 12 continuous months or longer - no matter which month you start your membership. Registration with CopyRight Clearance Center (CCC) for 3 - 20 drug development plans

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. Validation of new IAGIM members (VIEW)
All extended IAGIM plans, Drug Development Benefit Plans, Handbook Titles 17, 19 and 21 subscriptions and multiple Journal subscriptions require mandatory registration with CCC USA for the length of the Association membership.

IAGIM ASSOCIATION ANNUAL MEMBERSHIP FEES:

2007 USD $999 | 2008-2010 USD $1100 | 2011-2012 USD $1300 |
| 2013-2014 USD $1500 | 2015-2016 USD $1800

Annual membership fees are reviewed biannually and calculate pro-rata as above.
IAGIM Insurance $5 month. IAGIM Application Form 2007-2009

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

IAGIM's CREDIT CARD PROTECTION IS 100% GUARANTEED!

Millennium Special
 Limited Offer to New IAGIM Members


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