Membership / Donation Form

View Your Account

To view your account, including donation history, please create a login name and password.

Create a Login Name: Login Password: Retype Password:

AICGS welcomes contributions at all levels.

Donation Amount:

This is a one time donation

Make this a recurring donation deducted

Comment:

Please provide your name as you would like it to appear on AICGS' sponsors list.

First Name: Last Name:

Please provide your email address for a donation receipt.

Email:

If you would like to receive targeted email communications from AICGS, please enter your affiliation and contact information.

Title: Company: Address: City: State: Country: Zip Code: -

In accordance with GDPR guidelines, please confirm that you have read AICGS' Privacy Policy and give your consent to be contact by AICGS via email.

Payment method: Credit Card
American Express

AICGS accepts donations by credit card, check, and wire transfer.

To pay by credit card:

Credit Card Number: Card Expiration: Credit Card CVV2:

Cardholder First Name: Cardholder Last Name: Zip Code: -

NOTE: Please only click the 'SUBMIT' button once. Your payment may take time to process.