• Company Contact

    Authorized Representative's Information
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  • Platinum Member Marketing Agreement

  • Dear Member,
    Barbara's Picks, LLC (“Barbara’s Picks” or “Our”), an Arizona limited liability company, is pleased to include: (Company Name), a (Category) company located at (Address) (“Member”, “You” or “Your”) as a recommended and preferred retail/wholesale resource. This Marketing Agreement (“the Agreement”) is comprised of the following: (1) the Marketing Agreement Terms and Conditions (Terms & Conditions); (2) a list of marketing benefits; and (3) our fees. By executing this Agreement You are also agreeing to accept the Terms & Conditions. When executing this document, please complete the information on the Recurring Payment Authorization form for monthly recurring billing.

  • Recurring Payment Form

  • Schedule your payment to be automatically charged to your Visa, MasterCard, American Express or Discover Card. Just complete and sign this form to get started!


    Recurring Payments Will Make Your Life Easier:
    • It’s convenient (saving you time and postage)
    • Your payment is always on time (even if you’re out of town)


    Here’s How Recurring Payments Work:
    You authorize regularly scheduled charges to your credit card. You will be charged the amount indicated below each billing period. A receipt for each payment will be emailed to you and the charge will appear on your bank statement as an “ACH Debit.” You agree that no prior notification will be provided unless the date or amount changes, in which case you will receive notice from us at least 10 days prior to the payment being collected.

    Please complete the information below:




  • Credit Card
    Billing Address
  • Should be Empty: