PRINTABLE ORDER FORM
Catalog # Item Quantity Price Total
___________ _______________________________________ _______ ________ _______
___________ _______________________________________ _______ ________ _______
___________ _______________________________________ _______ ________ _______
___________ _______________________________________ _______ ________ _______
___________ _______________________________________ _______ ________ _______
Associate Membership - $20
Includes Religious Life magazine
($25 outside US;  US currency only please)
fill in amount =>
 _______
Consecrated Life Subscription - $20
($25 outside US;  US currency only please)
fill in amount =>
 _______

Shipping & Handling
Retail
S & H charge
under $20.00
$4.00
$20.00 - $49.99
$6.00
$50.00 - $99.99
$8.00
$100.00+
7% 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 make an order with credit card.

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

Name: __________________________________________________
Address: ________________________________________________
Organization: _____________________________________________
Phone (for credit card purposes): ___________________
City, State, Zip: ___________________________________________
Email for free e-newsletter___________________________________
Please charge $ __________ to my credit card Visa Master Card
Card Number: ___________________________
Expiration date (required): ________________
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 is sent: _______________________
Thank you! Check / Money Order payable to: The Institute on Religious Life

Mail to: Institute on Religious Life , PO Box 410007, Chicago IL 60641