IAC Buy With Credit Card

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We accept the following in US currency:

WHAT WOULD YOU LIKE TO BUY? HOW MANY?

* Select total number of memberships to buy....enter names below. *

* note: buy Membership before November 8 if you like to be seen in the print version of the AdBook placed on tables * Membership means eligible to win door prizes at December party.
2023 Membership	closed 2024 Memberships will go on sale mid-December	$50/person valid Jan 1-Dec 31, 2023
Dec 6 Holiday Ticket	sold out add to wait list	$140/person prepaid no tickets sold at the door sales close 5pm Wed Nov 29 buy 10 tickets per table
Dec 6 Holiday Sponsor	closed	$500 Sponsorship - Holiday
(get your company logo up on the screen)
(we will contact you for company logo image file)
Sponsorship + Table of Ten and we will print your company logo and display in center of the table. Sponsorship close Fri Dec 1 at noon so we can get signs printed in time.
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.