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TWO-WAY MESSAGING & REVIEWS ORDER FORM
Order Date
Store Name *
Contact Person Name *
Cellphone # *
Address *
City/State/Zip *
Store Phone # *
Email id *

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PACKAGE DETAILS
Package
Price
Order
One Time Setup Fee
$100.00 USD
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Monthly charges:
Recurring charge every month on the same card
* 5000 contacts included
* $15 per month extra for every additional batch of 5000 contacts
$95.00 USD
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Twilio Phone Number Purchase Per Month
$1.00 USD
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Text Messaging per 100 messages($0.0075 per text)
*Your card will be charged when your Twilio balance reaches below $20 & will auto replenish automatically
$0.75 USD
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ADD ONS
Package
Price
Order
Widget Add Ons
We will provide you with a widget to install on your website. The installation of the widget will be handled by you and your web admin.
Free
We can install the Widget for you with a one-time setup fee. We will need access to your website.
$50.00 USD

*Certain restrictions may apply if your website is not up to date or compatible with the coding provided.

Other Add Ons
Get PayByText to Simplify & Speed up your payments
Free
PAYMENT DETAILS
Method Of Payment (select one) *
Account # *
Expiry Date *
CVV Code *
Name as it appears on the card *
Address where card is registered *
Word Verification*

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