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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 to:

The International Mountain Explorers Connection
PO Box 3665
Boulder, CO 80307-3665

For companies interested in the Partner for Responsible Travel Program, there is no fee involved. Acceptance as a Partner is based upon compliance with the proper treatment guidelines. Please visit the About the Partnership section for more information.

CONTACT INFORMATION
Please provide the following contact information:

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

DONOR CATEGORY
Please check the donor category you prefer.
(Donations are U.S. tax-deductible to the extent allowed by law):

Basic:	$50
Supporting:	$75
Contributing:	$150
Life:	$500
Next Life	$1000

Additional 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:

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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