WP E-Signature by Approve Me - Sign Documents Using WordPress -

Personal Credit Builder Wholesale Purchase Order Form

Personal Credit Builder

LMR International, Inc.
Credit Card Authorization Form

Cardholder Name:

Credit Card Number: CVV2 (Code on back) Exp Date:

Billing Address:

City: State: Zip Code:
(Address where monthly Credit Card statements are received)

Phone Number:
(Associated with Credit Card)

E-mail:

Being the cardholder or Corporate Officer, by signing below I understand and agree to the terms set forth in this agreement, agree to pay, and specifically authorize LMR International Inc. to charge my Credit Card, for:

(mark with an X the option you want to purchase)

Personal Credit Builder License PINs for a year (qty) at $9.95 each (minimum 10000 PINs) Includes control on the internal Marketing Area of the software (600 x 600 pixels)

Personal Credit Builder License PINs for a year (qty) at $12.49 each (minimum 5000 PINs) Includes control on the internal Marketing Area of the software (600 x 600 pixels)

Personal Credit Builder License PINs for a year (qty) at $17.49 each (minimum 2000 PINs) Includes control on the internal Marketing Area of the software (600 x 600 pixels)

Personal Credit Builder License PINs for a year (qty) at $19.95 each (minimum 1000 PINs) Includes control on the internal Marketing Area of the software (600 x 600 pixels)

Personal Credit Builder License PINs for a year (qty) at $29.95 each (minimum 100 PINs) Includes control on the internal Marketing Area of the software (600 x 600 pixels)

Personal Credit Builder License PINs (qty) at $69.95 each (minimum 50 PINs)

Personal Credit Builder License PINs (qty) at $89.95 each (minimum 25 PINs)

Personal Credit Builder License PINs (qty) at $99.95 each (minimum 3 PINs)

Comments:

Optional (mark with an X any option you want to add):

WEBSITE like www.PersonalCreditBuilder.com Pay only one payment of $199.97 (includes 1 year hosting - website sale is always final)

Hosting for the website is free for a full year and $9.95 per month after that.

WEBSITE like www.PersonalCreditRepairSoftware.com done in WordPress with an integrated editor for easy modification
Pay only one payment of $299.97 (includes 1 year hosting - website sale is always final)

Hosting for the website is free for a full year and $9.95 per month after that.

Personal Credit Builder WHITE LABEL (optional) $3,499.97 to program a Private Label (aka white label) based on the software Personal Credit Builder paid in the following way: 50% today, 25% in 30 days and the other 25% in 60 days. The private label includes putting the owners private software name and also controlling a web page in the main screen of the software for any legal purpose that it is not in detriment of our company name or our software in general. Also, it will give the client control on the big (600 x 600 pixels) marketing area inside the software. PIN Licenses are additional. When you buy PIN licenses you would be able to select how many licenses you want

ALL SALES ARE FINAL. I UNDERSTAND THAT REFUND REQUESTS WILL NOT BE HONORED. ANY ISSUES MUST BE RESOLVED BETWEEN THE PARTIES. LMR INTERNATIONAL, INC. WILL DO ITS BEST TO PROVIDE REASONABLE REMEDY AS APPROPRIATE.

Signature Date:

8661 NW 24th St, Sunrise, FL 33322-3301
Phone: (954) 568-7153 Fax (954) 827-3803

Leave this empty:

Your legal name

Your email address

Please Confirm full name and signature.

Draw Signature
Type In Signature

Draw your signature with your mouse, tablet or smartphone Clear

I agree that I am and I agree this is a legal representation of my signature for all purposes just the same as a pen-and-paper signature

I agree that I am and I understand this is a legal representation of my signature

Adopt & Sign

Timestamp

Audit

January 31, 2016 10:30 pm EST

Personal Credit Builder Wholesale Purchase Order Form Uploaded by Lorenzo Rodriguez - Supportlmr@LMRinternational.com IP 72.207.142.145