Name
Address
City
State/Province
Zip/Postal Code
Phone
Fax
E-mail
Website
Your Notes (Ordering info, etc)
ENTER PAYMENT INFORMATION HERE:
Date:
Credit Card
Visa Mastercard American Express
Card Number
Card Expiration
CHOOSE SERVICE YOU WISH HERE:
SET-UP CHARGE:
$15.00 ONE TIME SET-UP CHARGE
MONTHLY CHARGE:
$10.00 PER MONTH: Up to 100 items
$15.00 PER MONTH: 101-500 items
$20.00 PER MONTH: 501-1000 items
$25.00 PER MONTH: 1000-1,500 items
$25.00 PER MONTH: 1,500-2,000 items
Your credit card will be billed the ONE TIME SET-UP CHARGE OF $15.00, and then monthly charges as you have indicated above. All billing is done on the FIRST of each month. New accounts will be prorated to the first of each month for billing purposes. You will continue to be billed and service will continue until you request us, PRIOR TO THE NEXT BILLING CYCLE, to discontinue your service. Upon receipt of your payment, we will set up your account based on the information you provide above. Once your account is enabled, we will email you with the necessary information.
YOUR CREDIT CARD STATEMENT WILL READ "ARENA PUBLISHING, INC."