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Please fill out the following information completely.
1) The company name that the site is licensed to (if there is one):
2) The title of the person authorizing the site for that business. For example, President, Owner etc.
3) The full legal name of the specific person authorizing the site. This will typically be your full name:
4) Contact address for the business which is licensing Membergate. If no business, then the preferred contact address which will appear on the license agreement.
5) Preferred contact phone number - What is the best business number to reach you at:
6) Preferred contact email address:
7) The URL (domain name) that your MemberGate site will be licensed to. Please make sure you have already secured this domain name:
8) Do you have a site currently at this domain name? If so, do you wish to have your current site in place while you work on your new MemberGate site? Please choose from the drop down list.
There is no site currently at this domain name There is a site but the new MemberGate site can immediately take its place There is a site in place and we want to work on MemberGate behind the scenes
9) How did you hear about MemberGate? Please elaborate as much as possible:
10) Do you wish to have a copy of our 5 DVD set "Membership Site Success Seminar" sent to you? This popular DVD series sells for $795 but is available at a special offer price only for new MemberGate customers. If you choose to order now, you will get them for only $600, (a savings of $195) and it will be shipped immediately via Fedex or UPS upon processing your site's license payment. The 8 speakers on this 5 DVD set were hand picked to present and the information they share is incredibly valuable. It is a very good way to get off to a great start with your new site. You can read more about it by clicking here but don't order full price from that page. Instead if you wish to receive it at a discounted price of only $600, then please indicate it here:
The 8 speakers on this 5 DVD set were hand picked to present and the information they share is incredibly valuable. It is a very good way to get off to a great start with your new site.
You can read more about it by clicking here but don't order full price from that page. Instead if you wish to receive it at a discounted price of only $600, then please indicate it here:
No thanks, I realize I won't be able to purchase these DVDs at this price again Yes please include the DVDs in my order and have them shipped immediately
11) Choose your preferred pricing option. Either $197 each month as a subscription or $3,995 to acquire a site license out right. Read here for details on the two options.
$197 monthly (includes hosting) $3,995 one time (hosting is $34.95 per month)
12) Any additional comments:
