Ref: [esigIDfield]

CRM CHECK WRITER
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:       

Facebook:   

Comments:  
 

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:

CRM Check Writer (CRM Business Solution with Contact Management capabilities, Tasks, Telemarketing, SMS Capabilities, Quick E-mails, Print of Checks, Check Drafts, ACH (electronic checks)  and much more) 

SUBSCRIPTION: you pay $29.95 per month,  cancel anytime after the first month (includes video training and reasonable e-mail support and support ticket). 

Optional: You can order SMS TEXT MESSAGE LIVE for your CRM Check Writer for an additional $19.97 monthly that integrates with Twilio and allows you to Receive Mobile Text messages directly into your CRM (you can send without this option).   (put an X ).  

The Service is billed in advance on a monthly basis and is nonrefundable. There will be no refunds or credits for partial months of service, upgrade/downgrade refunds, or refunds for months unused with an open account. 

Cancellation and Termination
You are solely responsible for properly canceling your account. An e-mail or phone request to cancel your account is NOT CONSIDERED CANCELATION. You can cancel your account at any time by filling the following form http://www.n20.us/cancel
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THIS SALE IS FINAL. NO REFUNDS. CANCEL ANY TIME FUTURE CHARGES (see above)

Signature Date:

LMR International, Inc
8661 NW 24TH ST SUNRISE FL 33322-3301
Phone: (800) 713-0457 & (954) 568-7153  Fax (800) 708-0365