Membership Discount Card Purchase Form

  Redeeming a Certificate, click here
#1 Quantity
Enter quanity of Las Vegas Discount Cards you would like to purchase, if buying multiple Cards, insert Quantity needed, then click on "Update Quantity"
Quantity:        Update Quantity
Name on Card #1:
#2 Credit Card Information
Enter your Credit Card information exactly as it appears on the card.
Credit Card Type:
Credit Card Number:   Numbers Only, no spaces or -
Expiration Month:
Expiration Year:
CVV or CVV2 (Credit Card ID #):   questions? click here
#3 Name and Billing Address
Enter your Name and Billing Address below exactly as it appears on your credit card statement.
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:
#4 Shipping Address
Please check the box if you would like your order shipped to your Billing Address.
 
If you would like to have your order shipped to an address other than your Billing Address, please complete the following information.
Address Line 1:
Address Line 2:
City:
State (US Only):
Province (Non U.S.):
Zip/Postal Code:
Country:
#5 Phone
US Residents
Daytime Phone: --
Or Evening Phone: --
International Residents Numbers Only, no spaces or ( - )
Daytime Phone:
Or Evening Phone:
#6 Free Email Newsletter
   Send me the FREE Insider Viewpoint of Las Vegas email newsletter filled with various discounts and information about Las Vegas.
#7 Cancellation or Return Policy
#8 One Year Membership Price
Initial membership is $49.95 with an annual fee of $24.95
That's 365 days of discounts from date of purchase, Not a calendar year!

$49.95
The above amount in red will appear on your next month credit card statement from 1stInformation.com