Popovits and Robinson HIPAA Manuals Order Form

To order the complete 3 binder set:

Fill in the order form
Print completed form
Make payment payable to IADDA and mail with completed form to:

IADDA
937 S. Second Avenue
Springfield, IL 62074

Shipping Information
Ship To:
Company:
Address 1:		Address 2:
City:		State: Zip:


Billing Information (Same as shipping)
Bill to:
Company:
Address 1:		Address 2:
City:		State: Zip:

Payment due with order.
(If you are interested in ordering multiple sets, please contact the firm at (312) 922-4440 or IADDA at (217) 528-7335 for further assistance)
RETURN THIS FORM WITH YOUR PAYMENT IN THE FORM OF CHECK OR MONEY ORDER PAYABLE TO: IADDA 937 S. Second Avenue Springfield, IL 62074