NOTE:  If you would like to authorize to the IABA to charge automatically your IABA annual dues to your credit card please print, fill out and sign the form below, and send it back to the IABA.  Thank you very much.

AUTHORIZATION TO THE IABA TO ANNUALLY CHARGE MY CREDIT CARD FOR MY ANNUAL DUES PAYMENT

I, ___________________________________________________________________, hereby authorize the IABA General Secretariat in Washington D.C., until further written notice to the contrary to the IABA from me, to annually charge my annual IABA dues to my credit card indicated below:

_______VISA                         ________MASTERCARD                  ________AMEX

Credit Card No. _______________________________________________________

Expiration Date ________________________________________________________

Signature _____________________________________________________________

Date _________________________________________________________________

Please fax, mail, or e-mail your authorization to the IABA at any of the following: