2023-awardpayment 2023 USDLA Awards Submission Payment Payment for 2023 awards submission Name* First Last Email*This needs to be the email address that was used to submit the award application Phone*Award Title*Trendsetter in Distance Learning AwardRising Star AwardExcellence in Distance Learning Teaching/Training AwardOutstanding Leadership AwardExcellence in Distance Learning Research AwardInnovation, Teaching, Quality ResearchAward Submission Fee*USDLA Member – $100USDLA Non-member – $200Fee for an award submission for the USDLA 2023 International Distance Learning Awards: $100 – USDLA members $200 – USDLA non-members (includes a 1-year Individual level membership)Number of Awards*If you need to pay for more than one award, please indicate here.123456789Total $0.00 Credit Card* American ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Month010203040506070809101112 Year20252026202720282029203020312032203320342035203620372038203920402041204220432044 Expiration Date Security Code Cardholder Name Credit card processing by Stripe. No credit card information is stored on USDLA servers. Δ