BIZ Order Form

Biz Calling Cards Packages
Once you've completed the form below, you will directed to an online order form so you can customized your Biz Calling Cards order.

Basic Advertiser Package: $49 setup / $49 month

Advertiser Package: $295 setup / $99 month

Advertiser Pro Package: $495 setup / $149 month

Private Network Package: $995 setup / $199 month

Private Network Silver Package: $2495 setup / $299 month

Private Network Gold Package: $4995 setup / $499 month

STEP 1 - Enter your business center information.

Referral ID:	*Person or company who referred you.
Company Name:
First Name:	*
Last Name:	*
SS No:	* Your personal SS#
Address:	*
Address 2:
City:	*
State:	*
Zip:	*
County:	*
Phone:	*
Cell:	country code, areas code and number: (no leading zero, no spaces, dots or dashes: example for USA 19492310567)
Email:	*

STEP 2 - Enter your payment information

Select your payment method and fill relevant payment section:
Pay by Bank Account (Get 5% discount from initial setup fee)
Pay by Credit Card


Please fill out your checking account information below:
Checking account Routing number	*
Checking account number	*
Check Number
Name of account holder	*
Name of Bank	*
Phone number of Bank:
Check or Credit Card Verification:
Drivers License Number:	*
Drivers License State:	*

Name Card Holder
Credit Card Number
Expiration Date
Card Identification Number	(Three or four digit number on card -- see below)

Yes, send me Biz Calling Cards newsletter for the products I've selected.
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