Higgins Opt-Ins Payment

Higgins Opt-Ins Payment

These are add-on services for higgins.
Business Information

This section aims to gather pertinent information about your business.
Business Name
Phone Number:
Please enter a valid phone number.Format: (000) 000-0000.
Email:
example@example.com
Products/Services Sold
Higgins Opt-In Programs

This section identified the higgins.ai programs you are enrolling in.

Website Creation and Hosting - Basic

Basic creation and hosting of website. This includes 1 to 2 pages and requires monthly maintenance starting at $5 per month.

$95.00

Website Creation and Hosting - Intermediate

Intermediate creation and hosting of website. This includes 3 to 5 pages and requires monthly maintenance starting at $5 per month.

$295.00

Basic Monthly Maintenance

This basic monthly maintenance is required to manage and maintain website.

$5.00

Add On Domain - Monthly

Includes a domain purchased and maintained for you.

$5.00

Add On Email - Monthly

Includes an email account that will be configured to your devices (up to 3) and forwarded to another email account (Up to 3) if needed.

$5.00

Total

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

Higgins Opt-In Programs are described along with costs and details on the Higgins Opt-Ins Site.
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All use of this data is governed by the Higgins AI Privacy Rules and any questions can be sent to privacy@higgins.ai for rapid response. By signing this form, I agree to the terms & conditions.*
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Business Information