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?

Would you like to renew? Please select from Membership drop-down below:
Membership Status:	2015 for Michael Smeltzer
2024 Membership		$50/person valid Jan 1-Dec 31, 2024
June 11 Golf - 1,2,3 ticket		$170 per person for one round golf, lunch, dinner
June 11 Golf - 4 some		$700 per 4-some round golf, lunch, dinner
June 11 Dinner Only		$80 per person before June 4 (dinner only ticket)
Sponsor - Hole - GOLF		$300 Hole Sponsorship on 6/11
Sponsor - Cocktail - GOLF		$300 Cocktail Sponsorship on 6/11
Sponsor - Lunch - GOLF		$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:

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 M-F.