10 digits,
no parenthesis, dashes or spaces required.
Credit Card
AMEX
- 15 digits/ VISA & MasterCard 16 digits.
No spaces required
Expiration
mmYYYY
V
Code
AMEX - 4 digits on front
VISA & MasterCard - 3 digits on back
By entering your credit card number,
you authorize Leadership Greater Hartford to charge your account.
EVENT REGISTRATION:
2008 Polaris Awards
-
$100 per person
No. of Tickets
Total
$
MEMBERSHIP:
As a dues-paying member of the LGH Network, you will be
extended a number
of benefits for the entire year. Other
than Leadership Circle, all memberships are renewable on
an annual basis. Membership dues are separate from contributions to the LGH Development Fund.
* Golden
Membership - is reserved for LGH program
graduates over the age of 65 or graduates of the Third Age
Initiative.
** Specialty Membership Packages - offer a number of
exclusive benefits in addition to those extended to annual members.
Total $
Yes! I would like to
help build community leadership in Greater Hartford by supporting
the Leadership Greater Hartford Development Fund with a
tax-deductible gift of:
Please dedicate my gift to support:
(Other Amount) $
(Including
membership, event registration and/or contributions)
By submitting
your credit card number, you are authorizing
Leadership Greater Hartford to charge your account.
TOTAL AMOUNT
$
DEVELOPMENT FUND:
Comment/Question
LGH updates this
page on a regular basis. If you experience difficulty submitting
your RSVP and/or
payment online, please to contact Cathy Tracy, Director of
Finance & Operations at (860) 951-6161 ext. 14.