Online Payment Form

Please use the following form to make an online payment for membership dues or supplies. If you encounter difficulties or require assistance, please call us at 888-509-5323.

If you are ordering a name badge, please fill out the name & company on the payment form to reflect what should be printed on name badge.

First Name: Last Name: Company: Billing Address: City: State: Zip: Chapter: 480 Corridor Access PLX Achievers Algonquin Allstar Referral Partners Always Doing Business-Skokie AmSpirit All Star AmSpirit Allstar AmSpirit Collier AmSpirit Links AmSpirit North Shore AmSpirit Paradigm AmSpirit Worldwide Apex Arch City ARGO Arizona Hold Arizona Roadrunners Arlington Arlington Heights Business Connections Atlas B2B Focus Badger Connections Baraboo PAL Barrington Biz Builders Bass Lake Bay State Beachwood Beaver County Belvidere Elite Business Network Bethel Park Bethel Road Beulah Park Big Walnut Biz Builders Blacklick Breakthrough Champion Brio Brunswick Buckeye Buckeye Lake Burlington Area Business Affinity Business Builders Business Generators Business Link McCandless BZ-Boca C G Business Exchange Capitol Cultivators Cave Creekers Centerville Champions Chandler Champs Chardon Chicago Hold K Chicago Hold P Chillicothe Ross Chippewa/Beaver County Cincinnati Tri-County City Center Columbus Concord Connections in Harmony Coral Gables Cranberry Township Crystal Lake Preferred Referral Partners Delaware Delaware Connectors DFW DNA Dollars and Sense Dublin Dublin Metro Earthworks Elevate Elgin Elite Entrepreneurs Epic Networking ESPN Evolution Fairlawn Franklinton Fredericktown Gemini Golden Bear Grandview Granville Greater Dayton Greater Green Greater Miami Valley Greater Oakbrook Business Connectors Greater Scottsdale Grove City GROW-Green Rock Of Wisconsin GSD Hall of Fame Harvard Hawthorn Woods Heritage Hilliard Hilliard Connections Hilliard Station Hold D Huntley Superior Performers Ice Age Trail Blazers Joe's Fighting Artichokes Johnstown Kenwood Lake Forest Networking Partners Lakewood Lancaster Land of Legend Landmark Lewis Center MA Pike Madison Business Connections Madison Networkers Madison Referrals Majestic Eagles Marysville Mass B2B Maven Mayfield McCandless AM McHenry County McHenry County Bus. Assoc. Medina Tri-County Networking Group Mentor Metro West Mill City MNM Momentum Montgomery Montrose Moundbuilder Mt. Vernon N Scottsdale BC Naperville Referral Network Network 617 New Albany Newark Square Nomads North Coast North Columbus North East Ohio North Outerbelt North Shore Northwest Northwest Business Associates NOW Oak Ridge Referral Partners Ocean Springs Discovery Olentangy Opportunities New Albany Orion Palmetto Paramount Park City Professionals Parkway West Pataskala PBN Peak Performers Peoria Power Partners Pickerington Pinnacle Pittsburgh North Plainfield Plymouth Rock Polaris Port Columbus Portland (ME) Powell Powell B2B Pre Launch Norridge Pre-Launch Aurora - Naperville Pre-Launch Aurora-Oswego Pre-Launch Badgerland Networking Pre-Launch Batavia Pre-Launch Bridgeville Professional Consultants Pre-Launch Capital Pre-Launch Deerfield Pre-Launch Fox River Grove Pre-Launch Geneva Pre-Launch Grayslake Pre-Launch Greater Austin Pre-Launch Ice Age Trail Blazers Pre-Launch Lake County - Indiana Pre-Launch Lake Zurich IL Pre-Launch Lakeview Pre-Launch Libertyville Pre-Launch Mesquite Pre-Launch Mt. Prospect Pre-Launch Mudelein Pre-Launch O.R.B. Pre-Launch Park Ridge Pre-Launch RAIN- Referrals and Inspiring Networking Pre-Launch Richmond Pre-Launch Rock River Referrals Pre-Launch Roscoe Pre-Launch Scottsdale Kierland Pre-Launch Shamrock Pre-Launch St. Charles Pre-Launch Washington Premier Prosper Pulsar Queen City Referral Generators Referral Powerteam Renaissance Reynoldsburg River Trail Blazers Riverside Robinson Rock Region Business Builders Rockford Premier Networkers Rockford-Partners In Success Rose City Schaumburg B2B Schaumburg Elite Networkers Scioto Scottsdale Core Scottsdale Raintree Seven Fields - Mission Connect Shrewsbury Sin City Sonoran South Central Boomerangs South Dayton South Shore Southwest Straight Shooters St. Charles Stark Arrows Stateline Business Connections Sturbridge Summit Business Network Sun City Sun Prairie Sunnyvale Team Synergy Test Chapter 1 The Viaggio Group The WHO THOR To Be Determined Towne Centre Tri-County Tri-Village Tuscora Union County Valued Networking Professionals VIB Connections Vortex West Coast Virtual West Valley Business Alliance Westerville Wexford White Fence Wild Wex - AmSpirit Willoughby Worcester Wormtown Worthington ZZ Pre-Launch Crossroads ZZ Pre-Launch Miamisburg [value-2] ~In Memoriam~ E-Mail Address: Payment Is For: Quarterly Dues - ($75.00) Name Badge - ($8.00) Annual Dues - ($265.00) Initiation Fee - ($250.00) Reinstatement Fee ($100.00) Business Card Caddy ($10.00) Annual Conference Registration ($80.00) Meeting/Event Fee (will vary) Other Payment Amount: $

Refund Policy

All payments are non-refundable for any reason. Your submission of the payment form constitutes your agreement to this policy.