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Choose a Package
Agency Management System - Setup
Agency Management System - Monthly
Website Design & Hosting
Cloud Backup Solution
Choose Products
Number of Locations
$75.00
$0.00
Downloads per Location
$50.00
$0.00
Download Assistance per Location
$250.00
$0.00
System Conversion
$750.00
$0.00
Number of Users to Certify
$150.00
$0.00
Basic Website Design
$299.00
$0.00
Basic Website Hosting
$59.00
$0.00
Cloud Data Backup Setup
$50.00
$0.00
Monthly Backup Fee up to 20 GB
$20.00
$0.00
Premium Website Design
$599.00
$0.00
Premium Website Hosting
$79.00
$0.00
Elite Website Design
$999.00
$0.00
Elite Website Hosting
$99.00
$0.00
Number of Users
$10.00
$0.00
Products Sub Total:
$0.00
Please answer the following questions
*
Agency Name
*
Agency Address
City, State, Zip
Agency Website
*
Agency Phone
*
Email
The credit card processing fee is $4.95 for payments $300 or less. For payments over $300, the fee is 3% of the payment amount.
*
Monthly Payment Options
Checking Account Draft
Credit Card Draft (extra fee apply)
Credit Card Type if using Credit Card for Monthly Draft
Visa
MasterCard
Discover
*
Name on Account
Bank Name, City & State if using Checking Account for Monthly Draft
Bank Account Routing Number if using Checking Account for Monthly Draft
Bank Account Number if using Checking Account for Monthly Draft
Credit Card Number if using Credit Card for Monthly Draft
CVV if Credit Card if using Credit Card for Monthly Draft
MM/YY
Expiration Date if using Credit Card for Monthly Draft