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
773-267-1195 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