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ChicagoGigs.com Venue Package Order Form
Account Information
Venue
Name: _________________________________
Domain
Name (URL):
__________________________________
Charges: $25.95/month
Contract Term: 3 months
Total charges: $77.8
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 in
three month intervals.
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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