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e-Contribution Form:

Complete this electronic contribution for INN-PAC and click on the send button when you are ready to send this to INN-PAC. If you would prefer to FAX or mail your application, please click here for a printable form.

I have ownership in the following InterContinental Hotels Group properties:
(If more than four, please list in the scrolling box below).

Total Number of InterContinental Hotels Group properties:
More than 4:

Choose your payment/billing schedule:

  Please bill me annually in the amount of
$1,000 $750 $500 $250 Other

I understand that I may cancel this annual billing at any time.

First Name:  
Last Name:  
Title:  
Company:  
Email Address:  
Phone:  
Fax:  
Address:  
City:  
State/Province:  
Zip/Postal Code:  
Country:  
Comments:  
SpamCheck
In order to prevent Spam to our online forms, we have implemented the SpamCheck module.  Please type the letters and numbers you see below into the blank on the right side of the letters.  These letters are case-sensitive.

The Federal Election Commission allows only personal/partnership checks or personal credit cards. With partnership checks, the Federal Election Committee requires that the names of all partners be listed. As with other political action committees, contributions to INN-PAC are not deductible as charitable contributions for federal income tax purposes.

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