Membership Discount Card Certificate Redemption Form

Redemption Code (if applicable):
Enter Certificate code Exactly as seen on Certificate, DO NOT enter spaces or ( - ) Certificate Code can only be used once
#1 Member Name
Please enter your name or the name as it will appear on the IVLV Membership Card. Company names are not permitted. Members must present ID occasionally to redeem a discount, therefore, inserting anything other than a persons name will void your certificate.
Name You would Like on Card:
#2 Name and Mailing Address
Title:
First Name:
Middle Initial:
Last Name:
Suffix:
E-mail:
Address Line 1:
Address Line 2:
City:
State (US Only):
Province (Non U.S.):
Zip/Postal Code:
Country:
#3 Phone
US Residents
Daytime Phone:
Or Evening Phone:
International Residents Numbers Only, no spaces or ( - )
Daytime Phone:
Or Evening Phone:
#4 Free Email Newsletter
   Send me the FREE Insider Viewpoint of Las Vegas email newsletter filled with various discounts and information about Las Vegas.
#5 One Year Membership Price
One Year Membership Regular Price $49.95 each--  
You are Redeeming Certificate - No Cost to Process Order