IGT Exclusive Membership Form
Upfront Payment PlanUSA/Canada
First Name:*
Last Name:*
Email:*
Position Title:*
Company:*
Address:
Suburb:
Post Code:*
State/Country:*
Mobile/Cell:*
Please use your mobile phone number, for SMS Text verification purposes.*
How did you hear about this membership program?*
Other (please specify)
Instruction/Message (optional)
| Item | Price |
|---|---|
| US$3,497 plus merchant card fees |
I agree to pay US$3,497 upfront plus merchant bank processing costs*. After 12 months, I understand that my membership will revert automatically to US$297 a month plus card processing fees of 3%. To end the membership, I understand that I must give 30 days notice emailed to office@igtmail.com. Any amount that is payable within the 30-day cancel notice period will be charged to the card/account.*
*Please note that individual monthly invoices are available on individual request. *STRIPE will be charging VISA/MasterCard with a loading of up to 3.0% and AMEX/Diners with up to 4.5%, calculated on the transaction value processed and a minimum transaction fee of US$4.47 may apply. STRIPE may waive, vary or reduce the fees and charges in certain circumstances.
| Item | Amount |
|---|---|
| Dynamically Updated | $XX.00 |
