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Tortilla Industry Association Buyer's Guide & Membership Directory ORDER FORM


Please complete the following information. You may also print this form and mail it with payment by check to Tortilla Industry Association 1600 Wilson Blvd, Suite 650 Arlington, VA 22209 or Credit Card. Please allow 2-3 weeks delivery time for your U.S.A order. We ship via all major mail carriers, including UPS, FedEx, and the United States Postal Service. Ship to Address: (if different) Ordered By: *Company: *First Name: *Last Name: Title: *Address: *Address: (cont.) *City: *State/Province: *Zip/Postal Code: Country: *E-mail: *Telephone: *Fax: First Name: Last Name: Company/Agency: Title: Address: Address: (cont.) City: State/Province: Zip/Postal Code: Telephone: Fax:

To: Pay by CREDIT CARD: Mail this Application to the address above OR e-mail this completed form to Claudia Tweedie [email protected] If you have any questions, call Editor and Sales - Claudia Tweedie at: 571-255-4345









Payment and Processing:

*Card Type: VISA AMEX MC


*Credit Card Number: *Card holders Name:

Total Price:

*Exp. Date mm/yy:

TIA has started collecting submissions for our 2012 TIA Membership Directory. You will have a chance to maintain visibility all year long in the TIA Buyer's Guide and Membership Directory 2012. This is widely distributed in the industry and to those seeking to become part of it and it is the first place people look when they want to buy a product or service like yours. So DON'T MISS THE CHANCE to be found by these buyers!.

Contact: Claudia Tweedie ­ Editor and Sales ­ E-mail: [email protected]


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Microsoft Word - 2011-DIRECTORY-FORM.docx