Home
About
Membership
Sponsors
Events
Scholarship
Pics
Contact Us
Map
FAQ
Pay by Credit Card
You do not have Javascript enabled on your browser and this could cause the transaction to be processed incorrectly. Do not submit transactions without enabling Javascript.
We accept the following in US currency:
WHAT WOULD YOU LIKE TO BUY? HOW MANY?
Would you like to renew? Please select from Membership drop-down below:
Membership Status:
2023
for
John La Fayette
2024 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, 2024
June 11 Golf - 1,2,3 ticket
-
1 @ $190
2 @ $380
3 @ $570
$190 per person for one round golf, lunch, dinner
June 11 Golf - 4 some
-
1 @ $700
2 @ $1400
3 @ $2100
4 @ $2800
5 @ $3500
6 @ $4200
7 @ $4900
8 @ $5600
$700 per 4-some round golf, lunch, dinner
June 11 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 June 4
(dinner only ticket)
Sponsor - Hole - GOLF
-
1 @ $300
$300 Hole Sponsorship on 6/11
Sponsor - Cocktail - GOLF
-
1 @ $300
$300 Cocktail Sponsorship on 6/11
Sponsor - Lunch - GOLF
-
1 @ $300
$300 Lunch Sponsorship on 6/11
Beverage Cart - GOLF
contact Greg Sand
$550 Beverage Cart on 6/11
Title Sponsor - GOLF
contact Greg Sand
$1500 Title Sponsor on 6/11
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
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:
IL
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
Membership Renewal - John La Fayette
For help using this web page, please call Jason at 630-428-9230 between 8am-5pm M-F.
Copyright © 2024 - Intermodal Association of Chicago -
Privacy Policy