IPL Educational IPL Educational Center® •
Membership Application and Fee Remittal
 

Please Fax completed from and check to 516.742.3931.

Then mail completed form with check attached to:

IPL Educational Institute™
90 Main Street
Mineola, NY 11501

 
Date:
Name:
Business Name:
Business Address:
City, State, Zip:
Phone:
Fax:
Email:

Membership Fee: $295.00 per year

Please make check payable to: IPL Educational Institute™