Option2

Software & Web Site Hosting

Items in GREEN are optional

Full Name

Company

Street Address

Address (cont)

City

State Abrev.

Zip

Email

Phone

Your Web Site Address

Web Site Access Credentials For Site Transfer

Provide now Call me Do not know

IP Address If Known

File Transfer User ID/Name

File Transfer Password

Payment Amount *

Monthly $69.95 + $299 Setup Fee Yearly $950 + $299 Setup Fee

Checkout will automatically add the $299 1x setup fee for a total of $393.95 this payment. We will automatically invoice you $94.95 via PayPal each month. Service will continue as monthly payments are made.

Checkout will automatically add the $299 1x setup fee for a total of $1249.00 this payment. We will automatically invoice you $950.00 via PayPal at years end. Service will continue when the payment is received.

Software User Name

Software Password

* We use PayPal for payment processing, you DO NOT need a PayPal account in order to pay with ANY major credit card or debit card. If you prefer to pay by phone or if you have questions about your purchase call us TOLL FREE 866-941-2976.