Purchase Chamber Checks

Purchase Chamber Checks

Pekin Area Chamber of Commerce
Purchaser Information:
Name*

First NameLast Name
Company / Organization Name*
Address*

Street Address

Street Address Line 2

CityState

Zip Code
Phone Number*
Please enter a valid phone number.
Email Address*
example@example.com
Quantity of Chamber Checks and Payment

(Note: Payment information will be entered at the very end of this form.)
Form of Payment - Select ONE*

PayPal (see 'Payment Methods' below, underneath Signature section)Check by Mail (see 'Payments by Check' information below)
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$10 Chamber ChecksChamber Checks in $10 Increments
$10.00 Quantity



$25 Chamber ChecksChamber Checks in $25 Increments
$25.00 Quantity



$50 Chamber ChecksChamber Checks in $50 Increments
$50.00 Quantity



Total

$0.00
Payments by Check:

Make checks payable to Pekin Area Chamber of Commerce and mail to:

Pekin Area Chamber of Commerce

402 Court Street

Pekin, IL 61554
Date*

MonthDayYear
Date

Payment Methods

Debit or Credit Card

Please click one of the PayPal options to complete payment and submit the form.

Purchaser Information: