Please print this and fax to 1 267 390 5193
 

You may also make payments through our online store!

 

type of payment    

 

By check. 

Please make check payable to CIMPA and mail to CIMPA Payment, 9200 Bayard Pl, Fairfax, Virginia 22032

By Bank transfer. 

Send payment to Navy Federal Credit Union, Vienna, Virginia

ABA# 2560-7497-4

Account # 1063918 302 

By credit card 

( ) American Express

( ) Visa

( ) Mastercard 

 

Number________________________________

 

Cardholder name________________________

 

Expiration date_______________

 

Signature______________________________

 

Amount:   US $____________

Please list items you are paying for here:

FAX TO 1 267 390 5193

 

Thank you.