Payment Authorization - ARK Marketing

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Our digital Payment Authorization form is undergoing maintenance. Please use the form available for download below and email it to us or call our office directly.

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Electronic Agreement

Electronic Signature Agreement*
I Accept
By selecting the "I Accept" button, you are signing this Agreement electronically. You agree your electronic signature is the legal equivalent of your manual/handwritten signature on this Agreement. By selecting "I Accept" using any device, means or action, you consent to the legally binding terms and conditions of this Agreement. You further agree that your signature on this document (hereafter referred to as your "E-Signature") is as valid as if you signed the document in writing. You also agree that no certification authority or other third party verification is necessary to validate your E-Signature, and that the lack of such certification or third party verification will not in any way affect the enforceability of your E-Signature or any resulting agreement between you and ARK Business Solutions. You are also confirming that you are the representative for your company authorized to enter into this Agreement. You further agree that each use of your email equates to your E-Signature and constitutes your agreement to be bound by the terms and conditions of these Disclosures and Agreement as they exist on the date of your E-Signature on this form.
Signature*
Company Name*
Billing Contact Name*
First Last
Billing Contact Email*
Billing Contact Phone*
Address*
Street Address Address Line 2 City State ZIP Code
Setup Fee*
This is the total one time fees highlighted on your proposal.
Monthly Payment*
This is the monthly total highlighted on your proposal.
Monthly Start Date
YYYY dash MM dash DD
Current Hosting Information:
Provider (ex: GoDaddy, 1and1), user name, and password
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Electronic Agreement

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