Print this form, fill it out and fax it to Magnetic Marketing Services at 801-217-0617

AUTOMATED MARKETING SOLUTIONS
Enrollment Form
   AMS Representative: Christene Robinson                                                                     Group Ref: Shawn Meldrum, LLC      
CLIENT INFORMATION
(Please Fully Complete Information Below)

 Subscriber's Name: ___________________________________________________ Sign up Date:_______________

 Company Name: _________________________________________ Contact Person:__________________________

 Billing Address: ______________________________________________ City: _____________________________

 State: ________ Zip Code: ________________ E - Mail:_________________________________________________

 Business Phone #: ________________________________ext.______ Bus. Fax#: ____________________________

 Cell Phone #: ____________________________________
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                                  LEAD GENERATION HOTLINE
  One Time Activation Fee: ($295.00) & Instant Mortgage Marketing Pack: ($189.00)
   $277.00 *Special Combo Pricing (Plus $15.00 Shipping & Handling)
 
  Please also include the Upgrade Pack (6 Additional Campaigns) for only $97 more.
 

EXTRA HOTLINE FEATURES
(Please check all desired services)

Find Me Activation (Free)       Web Reporting: (Free) Call Activity & Billing Reports Online!
Professional Transcription Service of all messages. Per Message: $0.50, Minimum Monthly Fee: $25
    (An operator will listen to your messages and transcribe the information for you)

Monthly Service Fee: $29.95
HOTLINE TOLL FREE RATES
0 to 500 minutes $0.24 cents per minute;         501 to 1000 minutes $0.22 cents per minute;
1000 minutes and up $0.20 cents per minute;   30 second minimum billing, 6 second billing thereafter

TERMS & CONDITIONS
AMS does not take responsibility for any toll-free charges to your line, the success of your advertising or the continued operation of your line if your account becomes past due. Upon activation, every client will receive a complete outline of AMS' terms and conditions, and is responsible to read, understand and comply with those terms. Service will be charged to the client for the upcoming month, and upon activation clients will be charged a prorated amount for the current month, as well as the service fee for the upcoming month. Pre-paid Service is non-refundable. Upon expiration of pre-paid service term, client will be placed on monthly billing at AMS' current published rates.

PAYMENT METHOD

Card #: _________________________________________ Expiry Date: ______________
                   (Visa, Mastercard, American Express)
  
Cardholder's Name:____________________________________  Card Code: __________

Authorized By: _______________________________________ Date: ________________
                                                (Customer's Signature )

Fax Completed Form to 801-217-0617 or Call 801-544-1750 with questions.