Test Payment Page

Email
This field is for validation purposes and should be left unchanged.
Member Information
Name*
First Last
Email*
I am...
- A brand new member - (I've just been voted into the Atlanta City Sales Club)
- An existing member - (I've been in the Atlanta City Sales Club for at least 3 months and have already paid my first 3 months dues)
Secure Payment Information
Payment Options*
- Quarterly ($225.00/quarter)
Please note, that we require new members to make a minimum commitment of 3 months to the club. New members a required to pay for their first quarter in full. If you wish to pay monthly thereafter please notify the membership team at info@atlantacitysalesclub.com. Your first payment will be credited $100 for your application fee. Subsequent payments will be $225 unless you switch to monthly payments after your first 3 months of membership.
This field is hidden when viewing the form
Discount Code for Application Fee
Payment Options*
- Monthly ($80.00/month)
- Quarterly ($225.00/quarter)
Total Payment Amount
Price: $0.00
Includes Membership Fee + Convenience Fee
Total Payment Amount
Price: $0.00
Includes Membership Fee + Convenience Fee
Payment Method*
American Express
Discover
MasterCard
Visa
Supported Credit Cards: American Express, Discover, MasterCard, Visa
Card Number Expiration Date Security Code Cardholder Name
Payment Agreement*
- I understand and agree to allow ACSC to charge my payment method monthly on today's date based on my selection above.
Payment Agreement*
- I understand and agree to allow ACSC to charge my payment method quarterly on today's date based on my selection above.
Minimum Membership Comittment*
- I understand and agree that I am making a minimum of a 3 month comitment to my membership in the ACSC and that if I resign from the group within my first three months of membership, I am not entitled to a refund.
Cancellation Policy*
- I understand and agree that I must notify ACSC of desire to cancel my membership at least 10 days or more prior to my membership renewal. I understand that my cancellation request must be made by sending an email to the address info@atlantacitysalesclub.com.

Test Payment Page

Member Information

Secure Payment Information