Publications Order Form

Please print and complete this form and mail or fax your order to the IPA-NY at:

IPA-NY
Attention: IPA-NY Publications
115 West 29th St, #606
New York, NY 10001

Fax #212-239-8571

Note: IPA-NY handles orders for Annotations and for Many Voices, One City publications.
All orders must be prepaid either by check (payable to Independent Press Association) or by credit card. Fill in your information below and mail or fax it to the appropriate IPA office (San Francisco or New York).

Card Number:____________________________________

Expiration Date:__________________________________

Total Amount:___________________________________

Signature: ______________________________________

Name:__________________________________________

Address:________________________________________

Suite, Apt #:____________________________________

City, State, Zip: _________________________________


We do not handle credit card transactions online. Please fill out all of your credit card information on this form and enclose with your order or attach to your fax.