Name:
Street Address:
Address (cont.):
City:
State/Province:
Zip/Postal Code:
Primary Number(no spaces):
Alternate Number(no spaces):
E-mail:

Visa                    American Express        ACH (Checking Acct Withdrawal)

MasterCard       Discover

Credit Card Number:

Credit Card Expiration Date (format 0209):

3 Digit Card on back of Credit Card:

Bank Name:

Checking Account ABA:

Checking Account Number:

Name on Checking Account:

Type of Checking Account:

Personal Business Savings

ABA / TRANSIT ROUTING NUMBER: 231381116	ACCOUNT NUMBER Example: 0123456789

Also we need the 3 digit code on the back/ CVV number example put in right here (Example Below)

Visa/Mastercard	American Express
A 3-digit number in reverse italics on the back of your credit card	A 4-digit number on the front, just above your credit card number

By completing and submitting this electronic form, you authorize call.blast Communications, LLC to bill your credit card or checking account on the 1st of each month. This authority is to remain effective until you provide call.blast Communications, LLC with written notice to cancel service.  Furthermore, you understand that adequate time will be needed to implement any cancellation action.

If you have any questions, please call 888.827.9272 option 2. Have a good day!

Refund Policy

Due to the nature of our call.blast, text.blast and mobile website sales are final and non-refundable. By processing your order and submitting your contact information from this webpage you are entering into a binding purchase contract.  This has been done to protect the integrity of our systems and databases from fraudulent activity and those who are looking to steal system usage and/or our data. 

 

call.blast makes every attempt to make our systems are 100% available to our customers. Our “Service Plans” are sold without warranties or guarantees.  Data is sold as is without warranties or guarantees.

 

I authorize call.blast Communications to charge me in full for any service or products purchased from call.blast Communications & its affiliate websites.  I further affirm that the name, personal and credit card information provided on this form are true and correct. I further declare that I have permission and the authority to use credit card I am adding to this webpage.  

Furthermore, I agree not to initiate a Charge Back  if call.blast Communications has delivered and provided services to me paid for with credit card I am entering into this webpage. 

I have read, understand and accept call.blast Communications “Terms of Use” as published on their call.blast Communications website & its affiliate websites.

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