Join our Service Form

Platinum Business Club

IBCVIP invites you to join our Platinum Business Club where we go that extra mile for our members.
Joining the club will give you updated news on different subject via our newletter and access at discounted rates to our services.
So join today. You won't regret it.
If you prefer to use Visa, Mastercard - please click here:

If you want to charge your American express or Diners Club or JVC please feel the secure form below and send to us so IBC team can start the procedure.

	<<<- I agree to the Terms and Conditions below.
By submission of this form, I hereby state that I am at least 18 years of age.

Choose Purchase Type:

Customer Information
Fields marked with an asterisk (*) are required input fields.

First Name *

Last Name *

Address *

Address 2

City *

State or Province *

Postal Code (ZIP) *

Country *

Telephone Number *

E-Mail Address *

Choose a User Name
User Name

Choose a Password
Password
Verify Password

Payment

NOTE:
ISM (International Service Merchant) will be on the charge receipt, not Club Lefant.

TYPE of Credit Card *

Name on card *

Card Number *

Card CVV/CVC Code * - - 3 or 4 digit code on back of card (front for amex)

Expiration Date *

Billing Address (if same as above put "same")

Billing Address 2

City * State/Prov * PostCode *

Country *

PLEASE - DO NOT FORGET TO PLACE YOUR EMAIL !!!