IEI Materials Order Form

Large Event Order Form:

Please take a few minutes to submit your requests by filling out the registration and order sections below.

* All materials are available at no cost to teachers, to others there is a small charge.

* IEI ships only to the 50 United States and Canada.

* Teachers, use this form. Others, please use the secure form.

Name:

Title:

Company:

Company Address:

City:

State:

 Zip:

 Home Phone:

Company Phone:

 Fax:

Email Address:

Event Name:

Date of Event:

Expected Attendance:

I am interested in receiving the following materials:

The DVD program Risk, Responsibility, Reality: How Insurance Works

         Number of copies:

The following materials are not available from IEI directly and we cannot place large orders for you. Please contact the organizations at the links provided to place your request.


The Insurance CD-ROM (provided by the Missouri Insurance Education Foundation).


The free kit Next Generation: Insuring your Future - Second Edition (provided by the Life Foundation) (Orders placed for the Next Generation: Insuring Your Future - Second Edition from the LIFE Foundation will not be filled during the summer months. All orders placed on or after April 22nd will not be shipped until August 30th. If you place an order after April 22nd, it will be held until the August 30th ship date. Thank you!)


The free VHS tape Wrecked: Life and Death on the Road(provided by Farmers Insurance Group) (Order through your local agent)



Additional Information/Comments

Click here for the 2004 IEI Annual Report