**  PRINT, COMPLETE AND MAIL WITH PAYMENT **

 

$60:  Annual Membership dues (September - June)

$20:  Single Meeting Payment for Non-Members
$10:  Students

 

Name and Title:

 

Affiliation:

 

Address:

Telephone

E-Mail:

Please make checks payable to "IIPS" and send to:

Harris Wolin, Treasurer
IIPS
c/o Myers Wolin, LLC
100 Headquarters Plaza
Morristown, New Jersey 07960-6834