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Join IMEC

To join the International Mountain Explorers Connection, either fill out and submit this form on-line, or print and mail or fax to:

The International Mountain Explorers Connection
PO Box 3665
Boulder, CO 80307-3665
Fax: (303)998-1007

Prefer to join over the phone?
Call 303-998-0101

YES, I would like to become a member of the International Mountain Explorers Connection!

New Member
Renewing Member (Member # )

CONTACT INFORMATION
Please provide the following contact information:

Name:
Address 1:
Address 2:
City, State, Zip:
Country:
Phone Number:
FAX:
E-mail:

MEMBERSHIP CATEGORY
Please check the membership category you prefer.
(Memberships are U.S. tax-deductible to the extent allowed by law):

	Single	Couple
Basic:	$40	$60	Renewals just $30/$45!
Supporting:	$60	$90	Includes the stylish IMEC baseball cap or t-shirt!
Contributing:	$125	$175	Get the cap or t-shirt plus any paperback book from our catalog!
Life:	$500	$750	Make history! The cap or t-shirt plus any catalog item!
Next Life	$1000	$1500	No need to renew in your next reincarnation!

Contribution to Porters Project:

**(Please add $5 for Memberships outside of the United States for postage and handling)

CHOOSE YOUR FREE GEAR [FOR SUPPORTING LEVEL AND UP]

Choose one:
	IMEC Baseball Cap
	T-Shirt	T-shirt Size:
Book or catalog item:
		(For Contributing and Life Memberships only)

PAYMENT INFORMATION
Please provide the following payment information:

Credit card:
Cardholder name:
Card number:
(Example: xxxx-xxxx-xxxx-xxxx)
Expiration date: (mm/yy)

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