PAACC- TECHCARDS Sign Up Form

DateTime

I agree to a non refundable one time fee as indicated above. I acknowledge that it will take up to 7 to 10 business days to have my TechCard shipped to my location. I also attest that I am the authorized signatory of this credit card.*

Now, Let's Build Your TechCard!

Choose Your Layout Orientation

PortraitLandscape

Choose Your Input Method:

Take photo or upload my business cardEnter business card details manually

Tap to access photos, file upload or take a photo. (Front side)*

Tap to access photos, file upload or take a photo. (Back side, skip if none)

Please choose one. Logos are automatically downloaded from your website

I want to upload or take my profile photoI don’t want my profile photo but place my company logo instead

Upload Profile Photo (It will be auto cropped into a circle)

Additional Notes (ex. Corrections or updates on the business card, etc.)

Name

First NameLast Name

Designation (ex. CPA)

Email

example@example.com

Phone Number (Landline or 1-800 number)

Please enter a valid phone number.

Cellphone Number (ex. 2899339311)

Please enter a valid phone number.

Company Name

Website Address

Position / Title

Office Address (Optional)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Delivery Address (Required)*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Attach Photo, photo file or take a photo (Auto cropped into a circle)

We will link to up to 5 Social media sites shown on your website. If you wish to link it to a different address, please indicate it in the additional notes or special instructions portion below.

Additional Notes or special instructions.

My Products

PAACC Special Affiliate Plan Product Image

PAACC Special Affiliate PlanAnnual Subscription Fees. Future minor revisions (ex. update contact details) are FREE but complex revisions (ex. Layout) will be charged at $25/hr.

$120.00

Additional Key FOBFunctions like the NFC card in a smaller and more convenient form. Easily attach to your house or car keys and never miss an opportunity of sharing your TechCard.

$25.00 Quantity

Spare NFC CardGive it to your spouse or simply keep it as a back-up in case you lose your TechCard

$25.00 Quantity

Tech CoinsFunctions like the NFC card. PVC makes it durable and waterproof. Can be used for outdoor applications. Comes with a sticky back tape which you can use to attach to any flat surface.

$25.00 Quantity

Subtotal

$0.00

Shipping

$0.00

Total

$0.00

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

PAACC-TechCards Sign Up Form

Now, Let's Build Your TechCard!