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Purchase | Confirmation
Thank you for your Order! You will receive an email confirmation of your purchase shortly. Online payments appear on the next business day. Please print this invoice for your records.
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3701 Algonquin Road, Suite 1010 Rolling Meadows, Illinois 60008-3105, USA Web site: www.isaca.org
INVOICE
Purchase Information
Date of Purchase: 02 Apr 2013 Mr. Harlam A. Perinan Ariza ISACA ID: 781698 Purchase Number: 632715 Payment method: Pay later Order Number:
Detail
Code BASIC CHAPT/126 Type DUES Description Basic Membership Dues through 31 Dec 2013 Quantity 1 1 1 Total: Balance: Unit Price $135.00 $25.00 $10.00 Extended Amount $135.00 $25.00 $10.00 $170.00 $170.00
NEWMEMOL MISC
Remittance Information
ISACA accepts Mastercard, Visa, American Express and Diners Club, check/draft drawn on US bank (payable in US Dollars), and bank transfer. DO NOT E-MAIL credit card information. Fax: +1.847.253.1443 Mail: ISACA - 1055 Paysphere Circle Chicago, IL 60674 USA Bank Transfer: Bank of America - Chicago, IL USA ABA 026009593 SWIFT code BOFAUS3N ISACA a/c 22-7157-8 Reference: Invoice number: Card Number __________________________________________Exp. ________ Cardholder Name __________________________________________________ Cardholder Signature _______________________________________________ Cardholder Billing Address (if different from above): _________________________________________________________________ _________________________________________________________________ _________________________________________________________________
Payment Due upon receipt. Please return this entire page with your remittance. All fees are expressed in US dollars and all payments by credit card will be processed in US dollars.
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https://svpr-isg-a1.isaca.org/ISGweb/Purchase/PurchaseConfirmation.aspx?IdPurchase=6... 02/04/2013