QUICK TECHNOLOGIES INC WEB SERVICES APPLICATION
COMPANY INFORMATION
COMPANY
YOUR NAME TITLE
MAILING ADDRESS
CITY STATE/PROVINCE ZIP/POSTAL CODE
(
)
PHONE FAX (
)
EMAIL
WEB ADDRESS
SHIPPING INFORMATION (if different)
SHIPPING ADDRESS
CITY
STATE/PROVINCE ZIP/POSTAL CODE
SERVICES
YEARLY
MONTHLY
Subscription Subscription
WebExpress Pro
(Advanced user-customizable website)
+Maintenance Package Domain Registration 1
$39
$245
(Have our professional design team maintain your SAGE WebExpress Pro website)
+Maintenance Package
Company Store
$395
AMOUNT
(Web-based
company store solution)
X $195
$19
$345
(Have our professional design team maintain your SAGE Company Store website)
Check one: q
(1 yr) $35
q
(2 yrs) $63
q
(5 yrs) $140
q
(10 yrs) $245
Web Hosting $120
Web Hosting Premium$360
Additional Storage Packs Additional Email Accounts (10 pack) X $55
X $120
DOMAIN REGISTRATION
If you already have a domain name that you would like to use, or you would like us to register a new domain
name for you, select the appropriate option below and fill in the domain name.
PLEASE CHECK ONE OF THE FOLLOWING:
q
q
q
Domain name already registered. I will handle re-assigning it to the QTI servers.
2
Email me instructions so QTI can handle re-assigning my domain name to point to the QTI servers (FREE).
3
I want QTI to register the new domain name for me. Please visit http://www.qti.com/domain-registration.php
to find an available domain name. Then write it below and select domain name registration.
Domain Name Choice: .
(.net, .com, .edu, .org, .info, .biz)
NOTE: .biz and .info must be registered for at least 2 years.
We will need information from you in order to complete your domain name transfer. This information will be requested via email. If we do not receive the information
within 10 business days we will cancel the transfer request.
3
Domain names are registered through Network Solutions. After the initial term expires, you will be billed by us at the then-current rate (currently $35 per year). Failure
to timely pay your bill will result in the expiration of (and possible loss of) your domain name. If you choose to register a name yourself, you may use any registrar.
1
2
PAYMENT OPTIONS
For subscription-based products, payment for the first month or year (depending on
the subscription term you select) is due now. For annual subscriptions, you will be sent
a renewal statement (unless you choose automatic renewal below) towards the end
of your subscription. Monthly subscriptions require automatic renewal via credit card,
meaning that your credit card will be automatically charged each month while your
subscription remains active. Please make all checks payable to Quick Technologies Inc.
q
Check Enclosed
q
Check Mailed Separately
Credit Card Number
Street or PO Box
`
q
Sub Total Due Now $
TAX (Texas subscribers add 8.25% tax) $
Total Due Now (all pricing US) $
Please automatically renew
my annual subscriptions
Credit Card
Expiration Date
City
q
State/Province
Signature for Credit Card
Zip/Postal Code
Credit Card Billing Address:
Printed Name on Credit Card:
CUSTOMER AGREEMENT
Please read the SAGE Customer Agreement (rev 7.0) (“Agreement”) located at www.sageworld.com/legal. Your signature below indicates
your acceptance of the entire Agreement on behalf of the company identified above and your representation that you have the authority to
bind such company to the Agreement. If you cannot access or read the Agreement for any reason, please call us before you sign and we will
provide you with a copy.
Signature
Title
Printed Name Date
16301 Quorum Drive Ste. 200A • Addison, TX 75001
800.925.7243 • FAX 800.905.7243 • [email protected] • www.qti.com
© 2015 Quick Technologies Inc. Prices and specifications subject to change at any time without notice.