IFAR Credit Card Billing Form



Name:
Address:
City:
 State/Province:
Zip:
Phone:
E-Mail:


I authorize the use of my credit card. Please charge the following amount :$___________

To my:

____MasterCard    ____Visa    ____AmericanExpress




Credit Card #:
 Expires:

Print Name on Card:


Signature:

Date:


Please return this credit card billing form,
along with your Invitation to Join and Support IFAR to:

International Foundation for Art Research
500 Fifth Avenue, Suite 935
New York, NY 10110
Telephone:(212)391-6234 / Fax:(212)391-8794