Motivation for the Marketplace

Your Information

First & Last Name:
Company Name:
Contact Phone Number:
Billing Address:
Billing City:
Billing State:
Billing Zip:
Payment Type:
Event Location
February 9th, 2010
Seattle, WA
February 10th, 2010
Portland, OR
February 16th, 2010
Anchorage, AK
Total # seats to reserve
@ $10/seat for BBB Accredited Charities / Students & University Staff =
@ $35/seat for BBB Accredited Businesses =
@ $50/seat for Non-Accredited Businesses / General Public =
Total Reservation Cost =
Tickets will be mailed, January 2010, to the address provided above.
In compliance with the BBB Privacy Policy, the BBB Serving Alaska, Oregon and Western Washington will use the personal information you provide below only for the purposes for which you provide it.

Payment Information:

Electronic Check: Checks can be processed electronically. We will need the routing number and account number from your check. These are the numbers listed on the bottom left hand side of your check. You may provide a check number for your reference. You will need to void the check you are using - do not mail this check. The funds for your membership will be deducted from your checking account.
Check Number:
Checking Account/Routing Number:
(Please list all of the numbers at the bottom of your check from left to right in the above space. Please void and retain the check for your records.)
Name of Bank:
Credit Card: 
Name on Card:
Credit Card Number:
Card Verification Number:
This number is recorded as an additional security precaution to ensure your credit card information is not being used fraudulently. For information on locating this number please click here.
Expiration Date: