PRINTABLE ORDER FORM
Catalog # Item Quantity Price Total
___________ _______________________________________ _______ ________ _______
___________ _______________________________________ _______ ________ _______
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Associate Membership - $20
Includes Religious Life magazine
($25 outside US)
fill in amount =>
 _______
Sustaining Membership - $50 or more
fill in amount =>
 _______
Circle of Support (you choose the amount you wish to give each month by credit card)
fill in amount =>
 _______

Shipping & Handling
Retail
S & H charge
under $20.00
$4.75
$20.00 - $49.99
$7.00
$50.00 - $99.99
$8.50
$100.00+
8% of retail

Please pay in US funds only.
Outside of US: Please call in your order at the number
below to ensure proper shipping charge.
Shipping-see chart
 _______
Tax-deductible
Contribution
Thank you!
 _______
Grand Total
 _______
You may also call IRL at
847-573-8975 and place an order using your credit card.

Name and address for membership and items purchased: Please print this form and mail.

Name: __________________________________________________
Address: ________________________________________________
Organization: _____________________________________________
Telephone (for credit card purposes): ___________________
City, State, Zip: ___________________________________________
E-mail for occasional IRL e-newsletter___________________________________
Please charge $ __________ to my credit card Visa Master Card
Card number: ___________________________
Expiration date: ________________ 3-digit security code (on back of card):___________
Cardholder''s signature (required): _____________________________
Name as it appears on the card: _______________________________
Mailing/Shipping address is same as on card.
Mailing/Shipping address is different from card.
Please include zip code where credit card bill is sent: _______________________
Thank you! Check / Money Order payable to: Institute on Religious Life

Mail to: Institute on Religious Life, PO Box 7500, Libertyville, IL 60048