Printable Contribution Form:

Dear INN-PAC:

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

______________________________________________________________

______________________________________________________________

______________________________________________________________

Enclosed is my personal/partnership check in the amount of
	$1,000	$750	$500	$250	Other _________
Below is my personal credit card information for my contribution of
	$1,000	$750	$500	$250	Other _________
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.

Name _________________________________________________________

Title __________________________________________________________

Company ______________________________________________________

Address _______________________________________________________

City__________________________________ State______ Zip___________

Phone_________________________________________________________

Fax___________________________________________________________

Email Address__________________________________________________

Personal Credit Card
	AMEX	Visa	MasterCard

Card Number ___________________________________________________

Expiration Date __________________________________________________

If using AMEX, please provide 4 digit CID number ________________________

Authorized Signature ______________________________________________

Date __________________________________________________________

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.

Mail personal/partnership checks, made payable to INN-PAC, to:

INN-PAC
c/o IAHI Owners’ Association
Three Ravinia Drive, Suite 100
Atlanta, GA 30346-2149

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