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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 *

You Can Apply Promo Code Here!

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
$110.00 USD
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First 1500 messages are free per month
*$20 per month extra for every additional batch of 1500 messages
Free
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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 SellByText
PayByText Included (Simplify & Speed up your payments)
$55.00 USD
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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