Performance Media Marketing (844) 330-3520
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Trans  LOCAL BUSINESS SALES
  TransPerformance Media Placement Phone   Trans(844) 330-3520
  TransPhone   Trans(877) 628-7042
  TransPerformance Media Placement Fax   Trans(949) 315-3740
  TransPerformance Media Placement Email   TransSend Email
Trans  CUSTOMER SERVICE
  TransPhone   Trans(949) 877-1984
  TransPhone   Trans(714) 838-0048
  TransFax   Trans(949) 315-3740
  TransEmail   TransSend Email
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Order Contract Form
 
* Order Number:           
 
CUSTOMER INFORMATION

 
* Company Name: 
* Address1: 
Suite: 
* City: 
* State/Province: 
(other territory): 
* Country: 
* Zip/Postal Code: 
 
* Main Phone: 
Main Fax: 
* Contact Person: 
* Contact Phone: 
Contact Fax: 
* Contact Mobile: 
* Contact Email: 
 
* Login Email: 
* Password:  (minimum 6 characters)
* Confirm: 
 
Time Zone: 
 
BUSINESS INFORMATION

 
* Description: 
(include 
information 
about the 
business here) 
 
  Specialties
*Specialty #1: 
Specialty #2: 
Specialty #3: 
Specialty #4: 
Specialty #5: 
 
* Cities: 
 
Use the EXPORT 
function on the 
SALES MAP and 
the results in 
this box. 
 
Business Name: 
Established: 
Website: 
Slogan: 
Products/Brands: 
Services: 
Areas Serviced: 
Guarantees: 
 
BUSINESS HOURS     OPEN CLOSE 24 HRS APPT ONLY  
 
Sunday:   
Monday:   
Tuesday:   
Wednesday:   
Thursday:   
Friday:   
Saturday:   
 
Business  
Hours  
Comments: 
 
PAYMENT METHODS 
  VISA  CASH 
  M/C  CHECK 
  AMEX  PAYPAL 
  DISCOVER  WIRE TRANSFER 
  DINER'S CLUB  FINANCE 
  JCB  WESTERN UNION 
 
Payment  
Methods  
Comments: 
 
PRODUCTS/SERVICES

 
    Setup Monthly  
  Google Maps Placement $ $  
  Placement of website on Google Maps.
Monthly fee billed in advance.
     
  Enhanced Premium Campaign $ $  
  Maximum exposure in Google for selected industry/cities on desktop and mobile devices. Custom desktop and mobile websites developed for marketing campaign. $99 per month maintenance fee waived while running Google AdWords campaign. Monthly fee billed in advance.      
  Enhanced Pay-per-Click Campaign $ $  
  Part time placement in Google for selected industry/cities on desktop and mobile devices. Desktop and mobile websites developed for marketing campaign. $99 per month maintenance fee waived while running Google AdWords campaign. Monthly fee billed in advance.      
  Enhanced Budgeted Campaign $ $  
  Part time placement in Google for selected industry/cities on desktop and mobile devices, starting at $349 per month. Desktop and mobile websites developed for marketing campaign. $49 per month maintenance fee waived while running Google AdWords campaign. Monthly fee billed in advance.      
  Local SEO Optimized Website $ $  
  Search Engine Optimized (SEO) multiple page website. Monthly fee billed in advance. Minimum monthly hosting fee of $49 per month.      
  Social Media Marketing campaign $0.00 $0.00  
  Social Media campaign on Facebook, Twitter and Blog. Includes coupons and postings on all platforms.      
  Google Plus $ $  
  Google Plus page (G+) for your business. Includes performance marketing website, mobile website and boomerang email.      

  SUB-TOTAL $ $  
  Adjustment
(discounts must be negative)
$ $  
  TOTAL $ $  
  TOTAL INITIAL AMOUNT $  
 
NOTES

Order 
Comments: 
(include any 
custom billing 
instructions 
here) 
 
TERMS & CONDITIONS
 
BILLING INFORMATION

 
* Billing Method: 
  Credit Card Information
* Type: 
* Number: 
* Exp:   / 
CVV2:      
* First Name: 
* Last Name: 
* Company: 
* Address: 
Suite: 
* City: 
* State/Province: 
(other territory): 
* Country: 
* Zip Code: 
 

CANCELLATION POLICY PER VISA REGULATIONS

TERM AND CANCELLATION: This contract is cancellable by either party for a full refund within five (5) days after execution of this agreement. After 5 days, the setup fee plus the first month's fee is non-refundable. After the first month, this contract can be terminated by either party. Customer must terminate by written notice faxed to (949) 315-3740. In the event that the Customer cancels, Customer will have a one month grace period to reactivate this order without being charged a new setup fee.

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