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)

PRO FULL EXPERIENCE $4,999.97  (includes three-hour live training, video training with the developer and reasonable unlimited live support for life) + a website like www.click111.com and enough Network Licenses for FIVE CONCURRENT USERS.

PRO SPECIAL PURCHASE OPTION $2,499.97 down and then, ten (10) more monthly payments of $249.97 charged every month starting 30 days following the date of this agreement (includes three-hour live training with the developer, video training and reasonable unlimited live support for a year) + a website like www.click111.com and enough Network Licenses for THREE CONCURRENT USERS.

Comments:  

Optional (mark with an X any option you want to add):
[ ] WEBSITE. Select style like: [ ] click111.com or [ ] click112.com 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)  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
(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. THIS IS THE ONLY ACCEPTABLE WAY TO REQUEST A REFUND OF YOUR PURCHASE.

Signature Date:

3750 Galt Ocean Drive #1511 , Ft. Lauderdale, Fl. 33308-7638
Phone: (800) 713-0457 Fax (800) 708-0365