This Agreement is between The PM MoneyWeb Center located at
5204 Reiger Ave., Suite 14, Dallas, Texas 75214 and:
Business Name ____________________________________________
City, State, Zip ____________________________________________
Phone ________________________ Fax _______________________
E-Mail Address ____________________________________________
Desired Domain Name _______________________________________
Complete Design and Hosting Package -- $695.95 includes the following:
for 1 year - your OWN "dot com"
($10.00 - Your fee for Domain renewal is then $8.95 annually)
Choose one of following methods of payment:
1. I authorize The PM MoneyWeb Center to charge my credit card for a one-time fee of $695.95.
( This includes a Quarterly Hosting fee of $60.00 at $20.00/month, this hosting fee will then be automatically deducted Quarterly for the duration of your Hosting account)
Name on Card ____________________________________________________
Visa ____ MasterCard ____ American Express ____
Card Number __________________________________Exp. Date __________
2. I authorize The PM MoneyWeb Center to debit my bank account for a one-time charge of $695.95.
(This includes a Quarterly Hosting fee of $60.00 at $20.00/month, this hosting fee will then be automatically deducted Quarterly for the duration of your Hosting account)
Check # ______ Bank Routing # _______________Acct. # __________________
3. Other ___________________________________________________________
Signed _________________________________Date ________________________
Please Print this Agreement, Complete and Fax to: 214-828-9981.
If you prefer to mail in the Application, mail to the Address Below:
The PM MoneyWeb Center; 5204 Reiger Ave; Suite 14, Dallas, Texas 75214; Phone: 214-381-0882
As soon as we receive the Agreement with Payment, we will contact you to start building your Web Site.