Subscribe to IAC - Periodicals and email news service - all free!
Up-to-date immunization information - Sign up today!
 
Subscription selections - all free!
I would like to subscribe to (select some or all):
 IAC Express A highly-praised email news service delivered every Monday, covering the latest information about U.S. vaccine recommendations and policies
 Needle Tips A semiannual, 24-page online publication for health professionals who provide services to children or adults
 Vaccinate Adults A semiannual, 12-page online publication for adult medicine specialists
 Vaccinate Women   An annual, 12-page online publication for ob/gyn practitioners
 
Contact information
PLEASE NOTE THAT ALL SECTIONS IN ORANGE ARE REQUIRED.
Salutation:
First Name:  
Last Name:  
Degree(s):  
Job Title:  
Organization:  
Street1:  
Street2:  
City:  
State or Province:  
Zip Code:  
Region (outside US/CAN):  
Country:  
Non-US Postal Code:  
Phone:  
Fax:  
Email Address:  
Confirm Email Address:  
Second Email Address:  
Confirm 2nd Email Address:  

Please describe how
these publications
may help your work:

 
 
Background information
This information will help us understand the needs of our subscribers and tailor the content of our publications accordingly.
What is your primary occupation?
Physician
Nurse
Nurse Practitioner or Physician Assistant
Physician in Training
Administrator, Program Manager or Coordinator
Academic
Pharmacist
Health Educator
Other. Please specify:
Is your organization involved primarily in the:
Public Sector
Private Sector
If public sector, is your scope primarily:
Local
State/regional
National
If private sector, is your organization primarily:
Pediatric
Family Medicine
Adult Medicine
Obstetrics/Gynecology
School Setting
College Health Service
Travel Medicine
Academic Medicine
Hospital
Corporation
Other. Please specify:
For which groups of people does your organization provide (directly or indirectly) services:
Children
Adolescents
Adults
None
 
What brought you to this form? Please check all that apply.
I came to this page from elsewhere on immunize.org.
I came to this page from a link in IAC Express.
I received an email invitation to subscribe to IAC publications.
I saw an announcement in the December 2008 issue of Needle Tips or Vaccinate Adults that the print edition was ending.
I saw a postcard about the ending of the print editions of Needle Tips and Vaccinate Adults.
A colleague recommended that I subscribe to IAC publications.
If you have a copy of Needle Tips or Vaccinate Adults at hand, or a postcard that you received about these publications, please enter the MAILCODE from the mailing label:
 

There may be a delay after sending.  
Please be patient.

You will receive an email message containing a copy of the information entered here.
Note that your information will be used only by IAC and will not be provided to anyone else.
 
Thank you for your interest in our publications!
 
Internal use only
Home spacer Contact Us spacer About Us spacer Support IAC spacer Cite IAC spacer Link to IAC spacer Disclaimer spacer Privacy Policy
Immunization Action Coalition  •  1573 Selby Avenue  •  Saint Paul, MN 55104
tel 651-647-9009  •  fax 651-647-9131
email admin@immunize.org