Join The International Perfume Bottle Association To join IPBA, fill out this form then hit the print button at the bottom and send it by mail with your check or credit card information as indicated below. *Name: *Address: *City: *State/Prov: *Zip/Postal Code: Country: Phone: Fax: Email: Card Number: __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ Exp. Date: _____/_____ Card Type: _____ Visa _____ MasterCard     Signature: ________________________________________ *Required Field Referring Member: Please tell us about your collecting interests: Membership Fees: $45 USA $50 Canada (US dollars) $55 Elsewhere (differences solely to cover additional postage) Note: Due to exchange costs we require payment from non-US members by credit card or US funds. MAKE CHECKS PAYABLE TO: IPBA Mail application with payment to: Susan Arthur 295 E. Swedesford Road, PMB 185 Wayne, PA, USA 19087 Phone: 732-329-1483 Address email inquiries to: mailto:webmaster@facticeworld.com?subject=IPBA Membership Information Request