IGT Exclusive Membership Form

Upfront Payment Plan
USA/Canada

First Name:*

Last Name:*

Email:*

Position Title:*

Company:*

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Suburb:

Post Code:*

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Mobile/Cell:*

Please use your mobile phone number, for SMS Text verification purposes.*

How did you hear about this membership program?*

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Instruction/Message (optional)

Item Price
US$2,197 plus merchant card fees
I agree to pay US$2,197 upfront plus merchant bank processing costs*. After 12 months, I understand that my membership will revert automatically to US$197 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
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