Email forwarding order form

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GRAVESONLINE EMAIL FORWARDING ORDER FORM

I have not been able to set up online ordering for this service yet. There are to many variables in the pricing, and anyone who has tried to program in CGI scripts will know what I mean. For now, please print out this order form and and FAX or mail it to the address listed at the bottom of this page. Thanks.

Name:

Address:

City/State/Zip:

Phone number:

REAL email address:

NAME YOU WANT AT GRAVESONLINE.COM (subject to availability)	REAL EMAIL ADDRESS YOU WANT IT FORWARDED TO	COST









	TOTAL:

Please remember when figuring cost:

$12.95 for each account set-up
Only $9.95 for additional accounts that get forwarded to SAME REAL email address.
Since this is a SERVICE there is NO TAX.
Updates to your REAL email address will be $5.00 per account.
These charges are for a whole year, you will be billed in one year if you want to continue this service.
Additional accounts can be added later to the SAME address for $9.95, but will expire at the same time as the original account (you probably won't get a full year).

PAYMENT INFORMATION:

I would like to pay for this using:

CIRCLE ONE:

CHECK

MONEY ORDER

VISA

MASTERCARD

Make checks and money orders paid to GRAVES ENTERPRISES.

If ordering by credit card please fill in the following:

CREDIT CARD NUMBER:___________________________________________________________

EXPIRATION DATE:________________________

SIGNATURE:__________________________________________________DATE:________________

EVERYONE MUST SIGN THE FOLLOWING:

I have read and understand the rules in using the GRAVESONLINE EMAIL FORWARDING SERVICE. If I, or anyone I sign up violate any of these rules, that account will be closed without warning and without a refund of unused time.

SIGNATURE:_____________________________________________________DATE:__________________

PLEASE MAIL YOUR ORDER TO:

GRAVES ENTERPRISES
8755 DARTMOUTH ST
FORT MYERS, FL 33907-4208

CREDIT CARD ORDERS CAN BE FAXED TO: 941 939-4848.

If you have any questions, please feel free to email us. Thanks.

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