IAC Pay By Credit Card

Pay by Credit Card

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We accept the following in US currency:

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.