Intermodal Association of Chicago
Pay by Credit Card
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We accept the following in US currency:
Visa MasterCard American Express Discover
WHAT WOULD YOU LIKE TO BUY?   HOW MANY?
2017 Membership $40/person valid
Jan 1-Dec 31, 2017
Sept 11 Golf & Dinner $120/person for one round golf, includes dinner ticket
Sept 11 Dinner Only $45 per person before Sept 7
(dinner only ticket)
Sponsor - Hole - GOLF $300 Hole Sponsorship on 9/11
Sponsor - Cocktail - GOLF $300 Cocktail Sponsorship on 9/11
Sponsor - Lunch - GOLF $300 Lunch Sponsorship on 9/11
Total amount to charge $ Do not use $ sign
CREDIT CARD DETAILS AS INDICATED ON CARD
Credit Card #: NO dashes- or spaces
*
Expiration Date:
CREDIT CARD INFO
First Name on card: *
Last Name on card: *
Credit Card Address: *
Credit Card City, State, Zip: *
COMPANY INFO
Company Name: *
Company Address:
City, State, Zip:
Your Phone: like: xxx-xxx-xxxx
Your Email: like: yourname@isp.com
*
(email held private - used to send a receipt of transaction)
Comments/Requests:
if buying more than one membership, please indicate names & email addresses
DO NOT DOUBLE CLICK. CLICKING THIS BUTTON WILL ACTIVATE A REQUEST FOR PAYMENT. CLICK TWICE AND YOU WILL PAY TWICE.
For help using this web page, please call Jason at 630-428-9230 between 8am-5pm Mon-Fri.