IMDA members are eager to learn about new, innovative technologies. Tell them about yours in a �Representation Needed� listing in the popular Update newsletter, IMDA�s monthly publication. Additionally, all listings are sent via email to all IMDA members.  Place a listing about your product for $150 or take out a full-page ad for just $500!.  For listings, print out this page and fax to IMDA headquarters with your Visa, MasterCard or American Express credit card information at (630) 493-0798; or mail it with a $150 check (payable to IMDA) to: IMDA, 414 Plaza Dr., Suite 209, Downers Grove, IL 60515. For information about taking out a full-page ad, call IMDA at 1-866-IMDA-YES, or 1-866-463-2937. Listings received before the first day of the month will appear in that month�s newsletter.

To:  IMDA Headquarters, IMDA Executive Director
RE:  'Representation Needed' listing in the IMDA Update

Company:  ______________________________________________

Name:  _________________________________________________

Address:  _______________________________________________

City:  __________________________________________________

State/Province:  _____________   Zip (Postal) Code:  _____________

Phone:  ___________________

Fax:  _____________________

Email:  _________________________________________________

Contact Name:  __________________________________________

Brief Product Description:  __________________________________

_______________________________________________________

_______________________________________________________

Product marketed to:  ______________________________________

_______________________________________________________

Territories open (list states and/or provinces):  ____________________

_______________________________________________________

_____ Enclosed is my $150 check (payable to IMDA)

_____ Enclosed is Visa, MasterCard or American Express card information:

Card No.: _____________________________________

Expiration Date: _________________________________

Name on Card: _________________________________

Credit card billing address: _________________________________________

Signature: ______________________________________