Prepaid Event Card

Order Form

Would you like to make registering for monthly programs a breeze? Purchase a Program Punch Card and eliminate the task of requesting receipts or reimbursements from your company after every monthly program. If you can't attend, we hope you will use your extra punch to introduce a guest to the AMA’s unique programming.

If you're an organization with several employees who benefit from Lincoln AMA’s monthly programming, then a Program Punch Card is a perfect solution. Punches do not apply to special AMA programming such as Special Interest Groups.

Program punch cards are valid July 1, 2011, to June 30, 2012.

Half-Year Program Punch Card (6 punches):
AMA Members - $114

Full-Year Program Punch Card (12 punches):
AMA Members - $228

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First Name

Last Name

Address (Line 1)

Address (Line 2)

City

State

ZIP

Phone

Email Address

ORDER INFORMATION

Select One *REQUIRED*

• Half-Year AMA MEMBER: $114
• Full-Year AMA MEMBER: $228

Payment Method *REQUIRED*

Please follow the instructions on the next screen after clicking on the "Buy Now" button at the bottom of the page.

• Pay Online

If you prefer, you may purchase Program Punch Cards at the door or be invoiced after placing your order at the door at any of our monthly program luncheons.

If paying online, please provide the name on the credit card

Total Amount Due *REQUIRED*

Please do not include a "$" in this field.

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