insurance data management association
Order Form for IDMA Study Guides and Textbooks Email or fax this form to the IDMA office, attention Farouk Yassine, at [email protected] or 201-748-1690. There is a $5 shipping and handling fee per book - Applies to U.S. and Canada orders only. International rates are subject to package specifications. Please be sure your tally is correct when you submit the form, or shipment will be delayed. NAME TITLE COMPANY MAILING ADDRESS E-MAIL / PHONE
_____ $49 Insurance Data Collection & Reporting Study Guide (IDMA 1) -- IDMA Member rate _____ $99 -- Non-Member rate _____ $89 Insurance Data Collection & Reporting Textbook (IDMA 1) -- IDMA Member rate _____ $159 -- Non-Member rate _____ $89 Insurance Data Quality Study Guide (IDMA 2) -- IDMA Member rate _____ $159 -- Non-Member rate _____ $49 Systems Development & Project Management Study Guide (IDMA 3) -- IDMA Member rate _____ $99 -- Non-Member rate _____ $49 Data Management, Administration, and Warehousing Study Guide (IDMA 4) -- IDMA Member rate [Note: Last examination cycle to offer this version of the course will be January 2018. The new IDMA 201 course will replace IDMA 4 and will also be offered for examination starting with the January 2018 examination cycle]
_____ $99 -- Non-Member rate _____ $55 Guidelines to Implementing Data Resource Management (DAMA) -- IDMA discounted rate IDMA 201 Introduction to Data Management Functions and Tools must be purchased directly from the publisher. Please visit: https://technicspub.com/idma/ To Please your order directly [Note: New course released September 2017 replacing IDMA 4 course as of May 2018. First examination cycle to offer this course will be January 2018 as we continue to support IDMA 4 through January 2018.]
_____ $75 Data Management For Insurance Professionals (DMIP) _____
$5 per book shipping and handling - Applies to U.S. and Canada orders only. International rates are subject to package specifications.
_____ Total enclosed. Please be sure your tally is correct when you submit the form, or shipment may be delayed.
Payment Method: Circle One:
Credit Card* (see form on next page)
Check Enclosed**
Bill Me
*Please fax your credit card form to 201-748-1690. We will not accept credit card information from any other source. **Make checks payable to Insurance Data Management Association.
Credit Card Payment Form Important Note: Any customer wishing to provide a credit card number MUST FAX this form 201-748-1690. We will NOT accept credit card information from any other source (i.e., by phone, email, or our main office fax number). Please IGNORE the INVOICE NUMBER and DATE COMPANY NAME: INVOICE NUMBER: INVOICE AMOUNT: INVOICE DATE: CARDHOLDER NAME: CARD TYPE: (Please circle one)
Amex / Visa / MasterCard
CARD NUMBER: EXPIRATION DATE: TELEPHONE NUMBER: FAX NUMBER: E-MAIL ADDRESS: SUBMITTED BY: DATE:
Cardmember acknowledges receipt of goods and/or services in the amount of the total shown hereon and agrees to perform the obligations set forth by the cardmember’s agreement with the issuer. SIGNATURE OF CARDHOLDER (REQUIRED):
For accounting use only. Transaction number:
_____ $49 Insurance Data Collection & Reporting Study Guide (IDMA 1) -- IDMA Member rate _____ $99 -- Non-Member rate _____ $89 Insurance Data Collection & Reporting Textbook (IDMA 1) -- IDMA Member rate _____ $159 -- Non-Member rate _____ $89 Insurance Data Quality Study Guide (IDMA 2) -- IDMA Member rate _____ $159 -- Non-Member rate _____ $49 Systems Development & Project Management Study Guide (IDMA 3) -- IDMA Member rate _____ $99 -- Non-Member rate _____ $49 Data Management, Administration, and Warehousing Study Guide (IDMA 4) -- IDMA Member rate [Note: Last examination cycle to offer this version of the course will be January 2018. The new IDMA 201 course will replace IDMA 4 and will also be offered for examination starting with the January 2018 examination cycle]
_____ $99 -- Non-Member rate _____ $55 Guidelines to Implementing Data Resource Management (DAMA) -- IDMA discounted rate IDMA 201 Introduction to Data Management Functions and Tools must be purchased directly from the publisher. Please visit: https://technicspub.com/idma/ To Please your order directly [Note: New course released September 2017 replacing IDMA 4 course as of May 2018. First examination cycle to offer this course will be January 2018 as we continue to support IDMA 4 through January 2018.]
_____ $75 Data Management For Insurance Professionals (DMIP) _____
$5 per book shipping and handling - Applies to U.S. and Canada orders only. International rates are subject to package specifications.
_____ Total enclosed. Please be sure your tally is correct when you submit the form, or shipment may be delayed.
Payment Method: Circle One:
Credit Card* (see form on next page)
Check Enclosed**
Bill Me
*Please fax your credit card form to 201-748-1690. We will not accept credit card information from any other source. **Make checks payable to Insurance Data Management Association.
Credit Card Payment Form Important Note: Any customer wishing to provide a credit card number MUST FAX this form 201-748-1690. We will NOT accept credit card information from any other source (i.e., by phone, email, or our main office fax number). Please IGNORE the INVOICE NUMBER and DATE COMPANY NAME: INVOICE NUMBER: INVOICE AMOUNT: INVOICE DATE: CARDHOLDER NAME: CARD TYPE: (Please circle one)
Amex / Visa / MasterCard
CARD NUMBER: EXPIRATION DATE: TELEPHONE NUMBER: FAX NUMBER: E-MAIL ADDRESS: SUBMITTED BY: DATE:
Cardmember acknowledges receipt of goods and/or services in the amount of the total shown hereon and agrees to perform the obligations set forth by the cardmember’s agreement with the issuer. SIGNATURE OF CARDHOLDER (REQUIRED):
For accounting use only. Transaction number:
