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Pay by Credit Card
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We accept the following in US currency:
WHAT WOULD YOU LIKE TO BUY? HOW MANY?
2023 Membership
-
1 @ $50
2 @ $100
3 @ $150
4 @ $200
5 @ $250
6 @ $300
7 @ $350
8 @ $400
9 @ $450
10 @ $500
11 @ $550
12 @ $600
13 @ $650
14 @ $700
15 @ $750
16 @ $800
17 @ $850
18 @ $900
19 @ $950
20 @ $1000
$50/person valid
Jan 1-Dec 31, 2023
Sept 5 Golf - 1,2,3 ticket
closed
$160 per person for one round golf, lunch, dinner
Sept 5 Golf - 4 some
closed
$600 per 4-some round golf, lunch, dinner
Sept 5 Dinner Only
-
1 @ $80
2 @ $160
3 @ $240
4 @ $320
5 @ $400
6 @ $480
7 @ $560
8 @ $640
9 @ $720
10 @ $800
11 @ $880
12 @ $960
13 @ $1040
14 @ $1120
15 @ $1200
$80 per person before Sept 1
(dinner only ticket)
Sponsor - Hole - GOLF
closed
$300 Hole Sponsorship on 9/5
Sponsor - Cocktail - GOLF
closed
$300 Cocktail Sponsorship on 9/5
Sponsor - Lunch - GOLF
closed
$300 Lunch Sponsorship on 9/5
Total amount to charge
$
CREDIT CARD DETAILS AS INDICATED ON CARD
Credit Card #:
NO dashes- or spaces
*
Expiration Date:
01 - Jan
02 - Feb
03 - Mar
04 - Apr
05 - May
06 - Jun
07 - Jul
08 - Aug
09 - Sep
10 - Oct
11 - Nov
12 - Dec
2023
2024
2025
2026
2027
2028
2029
2030
CCV Code
*
(3 digits if MC/Visa, 4 digits if Amex)
First Name on card:
*
Last Name on card:
*
Credit Card Zip/Postal Code:
*
COMPANY INFO
Company Name:
*
Company Address:
City, State, Zip:
AK
AL
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
---
AB
BC
MB
NB
NF
NS
ON
PE
QC
SK
YT
Your Role/Title:
like: Operations, Management, Sales, etc
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, indicate their names & email addresses
For help using this web page, please call Jason at 630-428-9230 between 8am-5pm Mon-Fri.
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