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Membership Form - General 

 

 

Choose: Memberships


Included In Your Membership You Will Receive:
  • 3 Poster Calendars
  • Official double sided colored CIFCA T-Shirt
  • Membership Card
  • One year subscription to Injection Connection
  • 20% discount on both CIFCA apparel and advertising in Injection Connection
    If you wish to PAY ONLINE - CLICK HERE

Name                     

Mailing Address            

Phone Number    

E-Mail Address:  

Shirt Size              

Card Type:             Visa    Mastercard

Card Number        Exp.    

     ** For your convenience CIFCA now accepts Visa & Mastercard **   

Type in all information, print page and mail in with payment of $30 to:
If you wish to PAY ONLINE -
CLICK HERE

CIFCA * 8858 Painter Suite E * Whittier, CA 90602

 

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