Managing Employee Leaves

Fax and Mail Purchase Form

_____ $219.00 Purchase the actual presentation of the conference on an audio CD, with materials (shipped regular mail, sales tax will be added for shipments within California.  If paying by check please add the appropriate California sales tax of 7.75%.)

Full payment is required at the time of purchase, IAML cannot invoice for AudioPro Conferences. IAML's Federal I.D. Number: 95-3548502.


___ Mr.     ___ Ms.

Name: _____________________________________________________

Bus. Phone: ________________________________________________
(include area code)

Extension: ______________________________

Fax: _______________________________________________________
(include area code)

Email (required): ___________________________________________

Title: _____________________________________________________

Employer: __________________________________________________

Employer's Address:
____________________________________________________________

____________________________________________________________

City:_________________________________________

State: ___________________________ Zip: ______________

Payment

___ Check enclosed

___ American Express ___ Mastercard ___ Visa

Cardholder Name: __________________________________

Card Number: _____________________________________

Expiration Date: (mm/yy) ____________________________

Signature: ________________________________________

Fax to IAML at 949-760-8192 or mail to:  Institute for Applied Management & Law, 610 Newport Center Drive, Suite 1060, Newport Beach, CA 92660.