Intermodal Association of Chicago
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We accept the following in US currency:
Visa MasterCard American Express Discover
WHAT WOULD YOU LIKE TO BUY?   HOW MANY?
2023 Membership $50/person valid
Jan 1-Dec 31, 2023
April 12 Dinner Ticket $80/person prepaid
$85 after 5pm April 5
buy 10 tickets to buy a table
Total amount to charge $
CREDIT CARD DETAILS AS INDICATED ON CARD
Credit Card #: NO dashes- or spaces
*
Expiration Date:
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:
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.