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                       IAATC SPECIAL REGISTRATION FORM
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Membership includes the following --
	    * TRAVEL GUIDE INTERNATIONAL MAGAZINE:
		A one-year subscription - now combined with
		the Shoestring Traveler Newsletter	    
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Name:       __________________________________________________________


Address:    __________________________________________________________


	    ___________________________________________________________


City:       ___________________________________________________________


State:      _________________________________   Zip:    _______________


Telephone:	Day:  (_____)______________  Eve:  (_____)______________


Age:  __________        Sex:  __________     Marital Status:  __________


Email Address: __________________________________________________________

Have you ever travelled as a courier before?  __________
Do you have a valid passport?  ________
If no, are you able to obtain one in 3 months? ________
Are you able to fly alone?   ___________
Do you have any physical ailments which may result in the sudden 
cancellation of a trip?  __________

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Registration Fee: $45.00 US & Canada / Foreign: $50.00

_____ $45 for ONE YEAR ($50 Overseas)

_____ $80 for TWO YEARS ($90 Overseas)


Please indicate method of payment below:

Check or Money Order _____ Visa _____ MC _____


Card No. _____________________________________


Exp. Date:  ________________


Signature:  _______________________________________________


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Make payable in U.S. funds to:

	International Assoc. of Air Travel Couriers

	P.O. Box 847

	Scottsbluff, Nebraska 69363-0847

	Tel: (308) 632-3273 / Fax: (308) 632-8267