HAPPYTV SETUP PAYMENTS FORM
Name
First Name
Last Name
Email
example@example.com
Cell Number
Please enter a valid phone number.
Today's Date
-
Month
-
Day
Year
Date
Name Of Person Who Referred You:
My Products
prev
next
( X )
One-Time Setup Fee
$
55.00
Monthly Payment - 3 Devices
$
35.00
Monthly Payment - 5 Devices
$
50.00
In-Person Tech Support Appointment
Per hour
$
25.00
Reconnection Late - Fee
$
15.00
48 Hour - Trial
$
5.00
Credit Card Details
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Submit
Should be Empty: