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ChicagoGigs.com Hosting Account Order Form
Account Information
Artist
Name: ______________________________
Domain Name (URL): ________________________________
Do
you want FrontPage extensions installed: q Yes q No
Do you want Log Files turned
on: q Yes q No
(note: Log files take up a
lot of space.)
Select account type and
billing interval:
q Gold Package billed monthly
$17.95 per month + $20 set-up fee = $37.95
q Platinum Package billed monthly
$25.95 per month + $20 set-up fee = $45.95
q Gold Package billed quarterly
$17.95 per month * 3 months + $20 set-up fee = $73.85
q Platinum Package billed quarterly
$25.95 per month * 3 months + $20 set-up fee = $97.85
Your
order will automatically renew in three-month intervals unless cancelled with 30
days notice. On your first renewal date, charges will be prorated to reset your
billing date to the first of a month. After that, charges will be billed as
selected as above. (The set-up fee is
only paid once.)
If order is placed with a credit card, all renewal charges will be
automatically charged to your credit card. You may switch to payment by check
by sending a request to contact@chicagogigs.com.
The full terms and conditions posted on our website at http://www.chicagogigs.com/notices/terms.htm
Our
Privacy Policy is also available on our website at http://www.chicagogigs.com/notices/privacy.htm
Completion and submission of
this Application constitutes Applicant's verification that he/she has read
the Terms and Conditions (Contract,
Content Policy, Pricing and Payment Policy) available on the ChicagoGigs.com website
and agrees to be bound by them.
Payment Information
q Payment by check
or money order -
Please
make payable to ChicagoGigs.com
q Payment by credit card
For credit card payment:
Name
on card:
________________________________________________________________________________
Billing
address:
_______________________________________________________________________________
City
/ State / Zip:
______________________________________________________________________________
Card
number: ______________________________
Expiration
date: _________________________________
Cardholder Signature:
__________________________________________________________________________
Please fax to 847-381-8513 or
mail to ChicagoGigs.com, Attn:
New Accounts, P.O. Box 2419, Palatine, IL 60078-2419
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