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Order Form

  This form uses SSL for secured transactions.
You can also order by calling 240-529-3000.
* signifies a required field

* First Name:
* Last Name:
Company Name:
Billing Address  
* Street Address:
* City:
* State:
* Zip Code:
* Phone:
Fax:
Web Site Address:
* Contact Email Address (this is where announcements and invoices will be sent):
Domain Name from where email messages will come from (example, iwidget.com):
* Password:
* Confirm Password:
Promotion Code:
* Name on Credit Card:
* Type of Card:
* Card Number:
* Expiration Date:
* Billing Zip Code:

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When your account is created, we will send an email confirmation to your Message "From" Email Address as entered above.

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Sign-up fee: $100.00

Number of Messages in Contact Manager
Number of Messages Sent Monthly *
Monthly Price
1 - 250
1,000
$25
251 - 1,000
4,000
$50
1,001 - 2,500
10,000
$100
2,501 - 5,000
20,000
$150
5,001 - 10,000
40,000
$250
10,001 - 15,000
60,000
$375
15,001 - 20,000
100,000
$500
20,000 +
  

* Over the "Monthly Messages Sent" limit per thousand: $5.00

You will receive an invoice on the first of every month for the previous month and your credit card will then be charged on the 10th.

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