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The "Go Anywhere" compliment to any business!
"Easy In - Easy Out" - Sign up or Quit at any time
with no lengthy commitments!

Daily Sales Record Standard Version

Credit Card Information
	*Choose payment plan:	$1.00 - Monthly (with automatic billing) $299.50 Full Year (Save $59.90 per year)

	*Company Name:
	*First Name on Card:
	*Last Name on Card:
	*Address:
	Address 2:
	*City:
	*State:
	*Zip:
	*Phone:	/ -
	Fax:	/ -
	*Email:
	*Credit Card Number:	(No dashes or spaces)
	*Expiration Date:	(mmyy)(example shows April, 2013)
	*Card Verification Value:	CVV2 or CID number

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	*(Required for all orders) Yes, I understand that these tools and services are being licensed to me for the term I have paid for - not sold to me, and I have read the Daily Sales Record Licensing Agreement and agree to its terms and conditions.

	(Required only if you are making monthly payments) If the payment plan I have chosen as indicated on this form has an automatic monthly payment, I authorize Daily Sales Record to automatically charge the credit card I have listed on this form each month until I call and cancel my subscription or submit my notice of termination. If I terminate my subscription I understand that I will no longer be billed beginning on my next months billing cycle. I also understand that no money for any portion of an unused month will be refunded to me if I terminate before the month is over.

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Can I change from my monthly plan to a yearly plan?

Yes, you can change to a yearly plan at any time by giving us a call at 800-398-0504 and we will switch you over.

Which credit cards do you take?

We take Visa, MasterCard, Discover and American Express for your convenience.

Do you take checks?

Yes, we will also take company checks for annual sign-ups, but you will have to wait until it clears the bank.

Questions? Email Daily Sales Record at: info@dailysalesrecord.com or Call: 855-304-8900 toll free