ORGANIZATION SUBSCRIPTION

Name of person completing form: ______________________________________________

Name of Organization: _______________________________________________________

Organization’s address: _________________City:____________State:____Zip:_________

Mailing address: _______________________City:____________ State: ____ Zip:________

Phone: ( ______)_____________________________
Extra Phone:  (______)_________________________

Email address: ____________________________FAX:_____________________________

Web Page Address: _________________________________________________________

                                                                                     # of Cards        Subtotal

____Buy Discount Smart Cards for fundraising events:

         This item comes 25 cards per set at $3.00 per card

                                 One set of 25 cards is $75.00 each:  ______       ______

         Remember:  The organization must provide their

         own List of Business to their card buyers. 

         Click here to copy list from our web page.

                              Buy individual cards at  $10.00 each: ______       ______    

____Have us develop and Host a Web Page for your Organization:

____

                              First year fee is $125.00:

     ______      ______

____R e n e w a l   for   succeeding  years   are   $10.00   per   month:                                                                                         ______       ______

                                                       or $100.00 per year:  ______       ______