CyberSimple Order Form

ACTIVATE YOUR CYBERSIMPLE^TM

WARRANTY-BACKED PROTECTION

Real-time cybersecurity protection for your devices. Required details below activate your warranty.
Purchaser Email*

Confirmation EmailPlease enter your email
Purchaser Name*
Head of Household Full Name or Company Legal Name
Purchaser Mobile Number*
Please enter a valid mobile phone number.
Full Physical Address*

Street Address

Street Address Line 2

CityState (available only in the United States)

5 Digit Zip Code
Is this for a Business?*

NoYes
Business Industry*
This information is required to activate your warranty-backed protection.
Annual Revenue*
This information is required to activate your warranty-backed protection.
Company EIN / Head of Household SSN*
Required for Warranty payouts under Anti-Money Laundering laws
Primary Phone Number:*
(Area Code) + ###-####
Select Your CyberSimple Advanced Security + $150,000 Financial Protection Plan

1 Computer Protected for Full year, $24.95/mo paid monthly; includes $150k Warranty2 Computers Protected for Full year, $49.90/mo paid monthly; includes $150k Warranty3 Computers Protected for Full year, $74.85/mo paid monthly; includes $150k Warranty4 or more Computers - select to expand price list
Pricing for 4 Computers and Up (Maximum 10) - $74.85/month for the first three devices, and $24.95/month for each additional device; includes $150k Warranty

4 Devices for $99.80/month5 Devices for $124.75/month6 Devices for $149.70/month7 Devices for $174.65/month8 Devices for $199.60/month9 Devices for $224.55/month10 Devices for $249.50/month
Total price/mo. based on selection
Business Tech Contact Name*
Enter Name of Person to Receive Account Activation
Business Tech Contact's Email*

Confirmation Emailexample@example.com
Business Tech Contact's Mobile:*
Please enter a valid phone number.
Terms & Conditions: This Purchase Order is between Purchaser and Cyber Assurance Group Incorporated ("CAGI"), authorized reseller for CISO Global Inc. ("CISO"). CAGI shall charge monthly in advance to Purchaser's card on file the amounts relating to Purchaser's order. CAGI makes no warranty and assumes no liability as to the software, services, or warranty provided by CISO. Purchaser holds CAGI harmless for any and all damages. All purchases require a contract period of one year, with cancellable automatic annual renewals to keep you secured and protected. All pricing is in USD.
Purchaser Name*
Full Legal Name of Company or Head of Household
Signer's Name*
Individual's Name
Signed on Date*

MonthDayYear
Date
Signer's Title*
Title at Purchaser, or enter "Head of Household"
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My CyberSimple Purchase, includes $150,000 WarrantyPricing Based on Selections Made Above; Billed Monthly; 1-year contract with Core Protection Warranty
USD for each month
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