EmailMe Form - ABC & AIA Joint Luncheon

Your Name *

Your Email Address

Your Company *

Contact Number *

Are you a member of ABC or AIA?

ABC

AIA

Neither

If you are a member of AIA, please fill in your AIA Membership Number

Number of Attendees

Names of Attendees:

Sponsorship Opportunities

$250- Table Display at Luncheon, logo on marketing materials

$500- Table Display + 3 minutes Mic time at event and logo on table tents, logo on marketing materials

Type of payment *

Visa

Mastercard

AMEX

If you have questions regarding payment, please contact Amber Harris at amber @wtcabc.org or 901-794-9212

Name on the Card

Credit Card Billing Address

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Phone

### - ### - ####

Credit Card and Cancellation Policy

Effective 9/1/17 – We will be assessing a 3% charge on all credit card purchases.

I understand that I will be billed for this registration and agree to pay any charges incurred. If you cancel within 24 hours of the event, you will be issued a refund.

Acknowledgement of Credit Card and Cancellation Policy *

I agree to the above terms.