Mi360 Subscription Payment Form - Early 2014 Terms

Use this form to pay for a subscription to Mi360 using terms quoted in early 2014.

Primary User's Name*
First Last
Please enter the First and Last names of the Primary Mi360 User for your Organization.
Company Name*
Enter the Proper Company Name we will be configuring a Mi360 Account for.
Primary User's Email Address*
Enter Email Confirm Email
A confirmation of this transaction will be sent to this user.
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Credit Card
American Express
Discover
MasterCard
Visa
Supported Credit Cards: American Express, Discover, MasterCard, Visa
Card Number Expiration Date Security Code Cardholder Name
Two User - Single System Base Cost @ $30/month*
Price:
Each Single User-Single Instance account comes with two Producers. Each Producer can connect up their social accounts in the same way a Social Ambassador can. If additional Producers or Social Ambassadors are needed, indicate only the number of additional accounts below.
Additional Systems Quantity
Price: $30.00
Additional Producers Quantity
Price: $10.00
Social Ambassadors Quantity
Price: $5.00
Setup Fee*
Price:
This is a one time fee that will only be applied to your first month's charge. Subsequent months will only be based on the other options. Your subsequent monthly charges will be the total shown below minus this setup fee.
First Month's Cost including Setup
$0.00
Recurring Cost Per Month
This is how much will be charged each month to your credit card after the first month.
To proceed you must accept the terms and conditions.*
- I accept the terms and conditions.
Please refer to the Mi360 Terms and Conditions in the EULA.
Name
This field is for validation purposes and should be left unchanged.