IPDA Application Form

INTERNET PHILATELIC DEALERS ASSOCIATION,Inc.

Membership Application Form

2008 Fee is $20.00 US

Payable on receipt of a Paypal Invoice.

When answering items 11 to 16, please provide as much information as you can, including the names of IPDA members or the names and addresses of other persons who recommended joining the IPDA. It is also important for you to provide the URL and your ID of any e-auction site, such as eBay, that you are a member of. If you have any trade references from customers or stamp dealers, please provide those as well.

All fields that are denoted with * are required fields. This form will only process successfully if all of these fields have been filled in.

In order to become an IPDA member you must either have a website or actively sell on an online auction site. At least one of the fields that are denoted with * must be completed.

1.	Full Name:	*
2.	Trading/Business Name:	*
3.	Street Address:	*
4.	City/Town:	*
5.	State/Province:	*
6.	Zip/Postal Code:	*
7.	Country:	*
8.	Email Address:	*
9.	Telephone Number:	*
10.	Your web site URL:	*
11a.	Online Auction URL:	*
11b.	Online Auction ID:	*
12a.	Other Online Auction URL:
12b.	Other Online Auction ID:
13.	Your Dealing Specialties:	*
14.	References - (Clients/Dealers/Others):	*
15.	Philatelic societies you are a member of:
16.	Recomendations (IPDA Member/Other):
17.	Other information:
Where did you learn about the IPDA, Inc.? Please tick one or more check boxes:
18a.	The IPDA web site:
18b.	From an IPDA Member:
18c.	A Magazine, advert or press article. Please give details:
18d.	Another Source. Please give details:

19.	"I have read the IPDA Constitution on the IPDA web site (www.ipdaonline.org) and agree to abide by its Code of Ethics"		If you agree, please click checkbox: *


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