Media Broker Membership
PRO PACKAGE MEMBERSHIP ORDER FORM
Full Name
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Email Address
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Business Name (if applicable)
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Best Cell Number
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Discount Promo Code
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Enter Promo Code and the appropriate discount will be adjusted on your billing statement. Support Team 4 Local Media
Name on Credit Card
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Last
Choose Option
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Choose One
PRO: $40 monthly membership (CMS & CRM)
CMS: $30 monthly membership (CMS ONLY)
CRM: $20 monthly membership (CRM ONLY)
PRO Includes both of the CMS & CRM-LEAD GENERATOR tools. It's our best deal!
Credit Card Billing Address
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Zip Code
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Credit Card Type
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VISA
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Credit Card Number
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Expiration Date
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CSV Code (3 digit code on back of CC)
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Terms: I agree to allow 4 Local Media, Inc. to bill my credit card (monthly payment). I understand this is a month to month agreement and I can cancel at anytime for any reason. There is no contact or commitment.
Conditions: I understand that both the CMS training system and the CRM LEAD GENERATOR tools are optional and not required to be a member in 4 Local Media. I also agree that my success and income is based on my individual efforts and I understand I have to work the business to make money.
I agree to the company terms:
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Yes
I agree to the company conditions:
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Yes
Submit