Publication and Subscription Order Form - 2016

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Business Address

Home Address

To pay by check, this completed form. A PDF will be created for your convenience, please print and review the PDF document and make a check payable in U.S. dollars to ILAE. (Please, no wire transfers for subscriptions). Mail the printed form and your check to:

ILAE Financial Office
342 North Main Street
West Hartford, CT 06117