Individual Annual Rates Institutional Annual Rates
USA/Canada $215 USD USA/Canada $270 USD
All Other Countries $240 USD All Other Countries $295 USD


Recipient Information
First Name *
Last Name *
Institution Name *
Department
Mailing Address *
City *
Country *
State/Province
*
Zip/Postal code *
Telephone (office) *
Fax
Email *
   
Payment information
Choose a payment rate *
Total Payment $
Credit Card Visa MasterCard AMEX
Card No. *
Expiry Date *
  Cardholder Name *
   
Check or Money Order Check Money Order  
 

Your check or money order should be made payable to American Academy of Insurance Medicine.
Checks or money orders must be in U.S. dollars and drawn on a U.S. bank account.

 


You can also subscribe by mail or fax. Download the form.

Renew your subscription. Download form.

By Mail:
American Academy of Insurance Medicine

100-32 Colonnade Road
Ottawa, ON K2E 7J6
Canada
By Fax:
(613) 721-3581
Credit card payments only


 
©2009 The American Academy of Insurance Medicine All rights reserved | Site Map | Disclaimer | Privacy Policy
Vancouver Web Design by Graphically Speaking