LMR International, Inc.
Credit Card Authorization Form

Cardholder Name:   

Credit Card Number:  CVV2  (Code on back) Exp Date:  

Billing Address: 
 
City:  State:  Zip Code:   
(Address where monthly Credit Card statements are received)

Phone Number:   
(Associated with Credit Card)

E-mail:   

Being the cardholder or Corporate Officer, by signing below I understand and agree to the terms set forth in this agreement, agree to pay, and specifically authorize LMR International Inc. to charge my Credit Card, for:

(mark with an X the option you want to purchase)

[ ] ULTIMATE EXPERIENCE + 100 SEATS ( $30,500 in discounts and "add-ins" ) $14,999.97 down and then, ten (10) more monthly payments of $999.97 charged every month starting 30 days following the date of this agreement (In addition to our video training we provide one-on-one live personalized training in the key business components: dispute processing, client management and leads marketing plus reasonable unlimited live support plus a website like www.click111.com or www.click112.com and Network Seats enough for 100 CONCURRENT USERS).

[ ] ULTIMATE EXPERIENCE ( $3,000 in discounts and "add-ins" ) $14,999.97 (In addition to our video training we provide one-on-one live personalized training in the key business components: dispute processing, client management and leads marketing, to "help you guarantee" your success plus reasonable unlimited live support plus a website like www.click111.com or www.click112.com and Network Seats enough for SIX CONCURRENT USERS).

To create a multi-user environment it is needed, in addition to one network seat license for each  additional concurrent computer, one FileMaker Pro license for each concurrent computer which must be purchased or rented from a third party provider like www.FileMaker.com

Comments:  

Optional (mark with an X any option you want to add):
[ ] WEBSITE. Select style like: [ ] www.MyBigFatBusiness.com or [ ] www.MyBigFatCredit.com done in Wordpress with integrated editor.
Select way of payment for website :  
[ ] purchase in five monthly payments of $99.97 each or
[ ] get 20 % discount and pay only one payment of $399.97 (includes 1 year hosting - website sale is final except when renting.)

[ ] NETWORK SEATS (additional concurrent users)  
(purchase qty)  at $499.97 each or
lease qty  at $49.99 per month

THIS SALE IS FINAL BUT WITHIN THE FIRST THIRTY (30) DAYS FROM TODAY'S DATE YOU CAN REQUEST A REFUND BY FILLING THE FORM www.paylmr.com/cancelpurchase . THE DATE THAT YOU SUBMIT THE FORM WILL BE THE EFFECTIVE DATE OF THE REFUND REQUEST. A 20% RESTOCKING FEE APPLIES IN ALL REFUND CASES. AFTER THIRTY (30) DAYS THE SALE WILL BE CONSIDERED FINAL AND A REFUND REQUEST WILL NOT BE HONORED.

FILLING THE FORM www.paylmr.com/cancelpurchase THE ONLY ACCEPTABLE WAY TO REQUEST A REFUND OF YOUR PURCHASE.

Signature Date:

8661 NW 24TH ST, SUNRISE , Fl. 33322-3301
Phone: (954) 568-7153 Fax (954) 827-3803