Wichita VIP Card Order Form

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To purchase your Wichita VIP Card, please fill out the form below. Once you have completed the form below you will be asked for your payment details and then given information about when you will receive your card.

Choose Your Order Option:

6 Month Card $49.95


Have a Promo Code? Enter it here:

Enter Your Contact Information:

First Name: *
Last Name: *
Email Address: *
Phone #: format: (###) ###-####

Enter Your Shipping Information:

Shipping Address: *
Address 2:
Shipping City: *
Shipping State:
Shipping Zip: *


Does your billing address match your shipping address? Yes

Read and Accept the Terms & Conditions:



I agree to the terms and conditions above. *