IEEE MD On-Demand Kit Order Form

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On-Demand Kit Order Form: IEEE Membership Development

Introduction: This online ordering form is a resource for membership development officers. You can now select a Kit to compliment your need of membership development materials either for a meeting or event.

Meeting Kit (e.g, Section, Regional, Society or Leadership meetings)

	Small	Large

Membership Recruitment Brochure	10	20
Higher Grade Membership Application Pad	1	1
Promotional Poster for IEEE Membership	2	5
MGM Flyer	5	10
MGM Business Card	25	50
Assorted IEEE promotional items	40	50
First Year Member Cards and Envelope	1 set	1 set
First Year Member Flyer	1	1
myIEEE Information Sheet	5	10
IEEE.tv Information Sheet	5	10

SELECT KIT	Small	Large

Event Kit (e.g., Conferences, Congresses, Tradeshows, etc)

	Small	Large

Membership Recruitment Brochure	20	0
1-Page Membership Flyer	0	100
Professional Grade Membership Application Pad	1	2
Promotional Poster for IEEE Membership	5	5
MGM Flyer	10	15
MGM Business Card	50	75
Assorted IEEE give-aways	60	100

SELECT KIT	Small	Large

Is your order for a Student Branch?	Yes No
If YES, please specify your School and Student Branch name:

Shipping Information

Name *

Member Number *

Email *

YES, send a copy to this email...

(Only 1 email address per submission.)

Officer Position *

Name of Recipient (if different from above)

Address 1 *

Address 2 *

Address 3

City *

State/Province *

Postal Code *

Country *

Phone Number *

Council/Section/Society Affiliation *

Material needed by (MM/DD/YYYY) *

(International orders require 3 weeks lead time. Domestic (U.S. and Canada) require 1 week lead time.)

Purpose for request *

If "Conference/Tradeshow" is selected, please specify:

Comments/Special Instructions

All items subject to availability.

Print on Demand items located at http://www.ieee.org/md

Senior Member Elevation information is located at http://www.ieee.org/membership_services/membership/senior/

IEEE MD Manual is available as a PDF at http://www.ieee.org/md