Dynamix PRO & Local Dynamix Order Form

Please choose industry *

Real Estate Mortgage Other

Name *

Address *

Street Address

Street Address Line 2

City, State, Zip

Cell phone *

Office Phone (optional)

Email #1 *

example@example.com

Email #2

example@example.com

We do require all System Dynamix Partners to review and initial our Terms and Conditions below:

I certify that I am the authorized holder and signer of the credit card/debit card presented. I certify that all information given is complete and accurate. I hereby authorize collection of the payment for all charges as indicated below. Charges may not exceed the amount listed in the "TODAY'S INVESTMENT" and "MONTHLY" fields. I understand that charges stated as "MONTHLY" are monthly recurring charges and will be automatically billed to the provided credit card each month. If additional charges are going to be authorized a new form will have to be completed. I also understand that due to the nature of developing software, mobile websites, video email templates requires System Dynamix to allocate certain monies stated above to complete such action, therefore System Dynamix has a no refund policy. PLEASE INITIAL BELOW. *

Clear

I understand that System Dynamix, Inc automatically sends access to the system (User ID & Passcode) via email at Point-Of-Sale, but I also understand that, in the event the access credentials do not appear in my email, it is MY RESPONSIBILITY to obtain my User ID and Passcode by contacting support@mydynamixpro.comI further understand that financial hardships, medical issues, not accessing or utilizing System Dynamix' technology and/or leaving my current position/company/industry does not constitute reason(s) for a refund of any amount. Your initials below state that you have read, understand, and are complicit with these terms and conditions. PLEASE INITIAL BELOW. *

Clear

DATA SECURITY COMPLIANCE - System Dynamix, Inc. automatically locks access to any Partnership account if the account is inactive for 60 days (i.e. You have not logged on to the account in 60 daysAll landing pages, auto-responders, text messaging and all automated functions of the account will remain active and working properly. YOU WILL STILL BE CHARGED FOR THE ACCOUNT. This is to protect your account from unknown access. To gain access to the account simply email support@mydynamixpro.com or call 1- 866-579-7836 to get new secured passcode. Your initials state your understanding and compliance to this condition. PLEASE INITIAL BELOW. *

Clear

Yes! My signature below authorizes System Dynamix to charge my credit card or deposit checks payable for services. My signature also represents that l understand that the initial investment (charged immediately) plus all monthly subscriptions (charged every 30 days from the date of this contract) will be charged to the credit card given below unless otherwise stated in writing by me at least 3 days prior to the next billing cycle. By signing below, I acknowledge that I have received the products and services listed above and understand that all sales are final. I also acknowledge my understanding that *** System Dynamix will be the name of company billed to my credit card. *** PLEASE SIGN BELOW. *

Clear

Date *

Date

My Products

Dynamix PRO & Local Dynamix BONUS

$ 798.95 for the first month then, $ 99.95 for each month

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

Questions? Please Contact Support at 1-866-5SYSTEM(79-7836) or Support@MyDynamixPro.com