This Agreement (“AGREEMENT”) is between Blind Squirrel, Inc. d/b/a Integrity Marketing Solutions (“Company”), and (“Customer”), effective with today’s date, (the “Effective Date”).
TERMS AND CONDITIONS:
The Customer wants to contract with the Company for the provision of marketing services from the Company to the Customer as per the Terms and Conditions below. Customer wishes to use these services as outlined below. This Agreement sets forth the terms and conditions under which the Company will provide services to the Customer and the mutual promises and covenants of the parties.
Subject to the terms of this Agreement, Company shall provide Customer with the following services:
I AUTHORIZE BLIND SQUIRREL, INC., dba INTEGRITY MARKETING SOLUTIONS (“COMPANY”) TO CHARGE my credit card on the payment schedule selected by my checkmark below.
Level Payment Plan Level Payment Schedule: Twelve (12) payments of $795 each, to be billed on or about the 15th day of the next 12 consecutive months for a total amount due of $9,540.
CREDIT CARD BILLING INFORMATION
NAME ON CARD:
BILLING STREET ADDRESS:
CREDIT CARD TYPE:
CREDIT CARD TYPE VISA MASTERCARD DISCOVER AMERICAN EXPRESS
CREDIT CARD NUMBER:
APPLICANT AGREES THAT ALL INFORMATION IS ACCURATE AND FURTHER ACKNOWLEDGES THAT THIS CONTRACT MAY BE TERMINATED AT THE DISCRETION OF BLIND SQUIRREL, INC., dba INTEGRITY MARKETING SOLUTIONS IF ANY CHARGES ARE DECLINED OR CHARGEBACKS CLAIMED AGAINST ANY INVOICE.
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Your legal name
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If you have questions about the contents of this document, you can email the document owner.
Document Name: Essentials BASIC
Agree & Sign