Digital Signage Plan: Payment Form

Grand Total

Diamond Plan 375 - 500 Residents 5 Building Price: $420.00 + 3.5% (convenience fee)

$434.70 for each month

Gold Plan150 - 375 Residents 3 Building Price: $250.00 + 3.5% (convenience fee)

$258.75 for each month

Silver PlanUp to 150 Residents 1 Building Price: $100.00 + 3.5% (convenience fee)

$103.50 for each month

Credit Card

First Name

Last Name

Credit Card Number

Security Code

Expiration Month

Expiration Year

Billing Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Attestation*

I confirm the amount listed under "Grand Total" is the total amount that will be debited from my bank account.
Signature*

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Grand Total
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