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IAGIM - Drug Development Association

Payment by Google CheckOut / PayPal / International Credit Card


Use our quick, safe, online IAGIM membership form for credit card users. Alternatively you may reguest a PayPal or Google CheckOut invoice.

For international credit cards your e-mail journal or handbook purchases and your credit card details will automatically join up together in our shipping department under the same password, providing totally safe shopping. To obtain your credit card security ID review the back of your credit card.

ALTERNATIVE METHOD
of PAYMENT by PAYPAL or GOOGLE CHECKOUT

PayPal or Google CheckOut
- Request a payment email invoice via PayPal or Google CheckOut. Locum will forward to you a PayPal or Google CheckOut invoice

IAGIM - Global Leaders in Internet Security

Company Details  
     
Company Name :
Street :
P.O Box :
City :
State :
Zip :
Country :
Telephone :
Fax :
E-mail :
Website URL :
Contact Name :
     
Membership Period :
     
Enter the verification code:

Card Information  
     
Card Type: :
Card Number: : Double Check Number
Expire Date: : Double Check Date
Security Code (on card back): :
Card Holder's Name: :
Credit Card Billing Address: :
Item Value: :  
Purchase Item: :

Remember to add the 3 or 4 number security code on the back of your card - for International Card Clearance - if you forget we will e-mail you as a reminder. To obtain your credit card security ID review the back of your credit card.

The actual billing address to which your credit card bill is mailed to you. The billing address registered with the credit card company is an important double security check for card ownership.
 





Membership is for 12 continuous months - no matter which month you start your actual membership.

GRADED ANNUAL MEMBERSHIP FEES

| 2010 - 2011 USD $990 |

Annual membership fees are reviewed biannually - as above.


IAGIM Membership Package

Millennium Special
Limited Offer to New IAGIM Members


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