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Trivia Challenge Hosting Order Form

Cost for this service is $100 per month with a $200 setup fee. After the first month of service you will be billed for three months in advance.

SPECIAL SAVINGS OFFER: Pay for one year in advance and get it all for $1000.00 save $400.

All fields must be filled out for
us to process your request.
Your Name
Your Email
Your Business Name
Business Type
Business Address
City
State/Province
Country
Zip Code
Telephone Number
Fax Number
Website Title
Website URL
Website Description
Does your Website accept Credit Cards? Yes No
Does your Website offer Secure Transactions? Yes No
Does your Website utilize E-Mail Autoresponders? Yes No
Does your Website have a Mailing List? Yes No
Does your Business utilize Fax-On-Demand Services? Yes No
Does your Website give
anything away for free? Explain
How did you hear about
this Free Service?


After submitting your URL info you will be
sent to a webpage to take care of your
SSL SECURE PAYMENT for this service.

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Contact Your WebMarketing Partners - sunshine@infinet.com (937) 256-0357