Professional Chapter Promotion Materials Request Form
Use this form to request the materials you need to promote IIE Membership. Shipping
and handling fees are applicable. Email the completed form to Membership Coordinator
at chapters@iienet.org or fax it to 770-263-8532.
Please indicate how many of each of the following you would like to receive.
Resource
Quantity
Membership Materials
20
40
60
Professional Membership Brochure & Application /
Member Guide



IIE Benefits Update



Postcard-sized promotion explaining value of chapters



Society for Engineering Management Systems
brochures (SEMS)



Society for Health Systems brochures (SHS)



IIE Annual Conference & Expo



Operational Excellence Conference & Expo



Society for Health Systems Conference & Expo



Applied Ergonomics Conference & Expo



IIE Seminar catalog



Publications
Quantities limited. Available while supplies last
10
15
25
Industrial Engineer Magazine:



Blue
Green
Pink
Other
Continuing Education Materials
Other
IIE Logo Items
IIE Sharpie Retractable Highlighter - $1:25 each or
$1:00 each for 25 or more. Indicate color & quantity.
Yellow
IIE Ballpoint Pen - $1:25 each or $1:00 each for 25 or
more. Indicate quantity.
IIE Horizontal Monitor Calendar
$1:25 each or $1:00 each for 25 or more.
Updated 7-29-08
Is there anything else that would be helpful? We'll let you know if your request is possible.
Shipping & Handling Information
**REQUIRED**
Shipping Address
Name: ________________________________________________________________
Address 1: ____________________________________________________________
Address 2: ____________________________________________________________
City, State, Zip: ________________________________________________________
E-mail: _______________________________________________________________
Telephone: ____________________________________________________________
Billing Information (shipping fees only)
 Send me an invoice
 Payment information is provided below
Credit Card (MC, VISA, AMEX): __________________________
Card Number: __________________________________________
Name on Card: __________________________________________
Expiration: _____________________________________________
Updated 7-29-08