ONLINE ORDER FORM

Subscriber Information
*Name (first and last) ...

.*Address:

*City: *State:   *Zip:

*Email
Website
*Phone Work Mobile Home
Select Your Newsletter Plan
Please select the plan of your choice.
YOU EMAIL PLANS
TERM
ISSUES
FEE SETUP
1 YEAR 24 Issues W/2 Bonus - 1 Payment $1,200.00 FREE
1 YEAR 24 Issues W/2 Bonus - *4 Payments $1,300.00 $100
6 MONTHS 12 Issues - 1 Payment $ 650.00 $100
3 MONTHS 6 Issues - 1 Payment $375 $200
1 MONTH 2 Issues - 1 Payment $150 $300
YOU EMAIL PLANS - We provide you a new email every other week and then you forward the personalized email to your clients. You may send them to an unlimited amount of recipients for the quoted fees.
*1 Year - 4 Payments - 24 Issues - $1300 - Setup $100 - This annual plan includes the first payment of $400 followed by 3 payments of $300 at the beginning of each subsequent quarter.

OR

WE EMAIL 4 YOU

UP TO 500 EMAIL ADDRESSES
TERM
ISSUES
FEE - Up to 500 SETUP
1 YEAR 24 Issues W/2 Bonus - 1 Payment $1,500.00 FREE
1 YEAR 24 Issues W/2 Bonus - *4 Payments $1,600.00 $100
6 MONTHS 12 Issues - 1 Payment $ 825.00 $100
3 MONTHS 6 Issues - 1 Payment $ 450.00 $200
1 MONTH 2 Issues - 1 Payment $ 225.00 $300
*1 Year - 4 Payments - 24 Issues - $1600 - Setup $100 - This annual plan includes the first payment of $500 followed by 3 payments of $400 at the beginning of each subsequent quarter.
ADDED EMAILS
ADDED FEE
Up to 1,000 Total Emails Add $50
Up to 1,500 Total Emails Add $100
Up to 2,000 Total Emails Add $150
Up to 2,500 Total Emails Add $200
Up to 3,000 Total Emails Add $250
Up to 3,500 Total Emails Add $300
Up to 4,000 Total Emails Add $350
Up to 4,500 Total Emails Add $400
Up to 5,000 Total Emails Add $450

WE EMAIL 4 YOU PLANS - Once we have your email list, then we will prepare your new email every other week and then send it to your email list. The fees are based in 500 email increments. The more agents that your message is sent to the more that you will pay for the service.

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CREDIT CARD: This is a secure HTTPS payment form and your private information is encrypted. If you would prefer to fax your credit card information to us, then download the FAX PAYMENT FORM and fax it to 801-224-6207.

CHECK: If you are paying by check please mail payment to:

Michael Leavitt & Co
1145 N. Main Street
Orem, Utah 84057

You subscription will be started after your payment is received and cleared by the bank.

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Copyright; 2007
Michael Leavitt & Co
1145 N. Main St.
Orem, UT 84057
801-225-8020
For more information E-MAIL Us