This Agreement is between The PM MoneyWeb Center
located at
5409 N. Jim Miller, Suite 109, Dallas, Texas 75227 and:
Business Name ____________________________________________
Owner/Principal ___________________________________________
Address _________________________________________________
City, State, Zip ____________________________________________
Phone ________________________ Fax _______________________
E-Mail Address ____________________________________________
Desired Domain Name _______________________________________
Complete Design and Hosting Package -- $695.95 includes the following:
Domain Registration
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: 214-381-0882 or 214-828-9981 when first number busy. If you
prefer to mail in the Application, mail to the Address Below:
The PM MoneyWeb Center; 5409 N Jim Miller Rd.,
Suite 109; Dallas, Texas 75227; Phone: 214-381-0882
As soon as we receive the Agreement with
Payment, we will contact you to start building your Web Site.