Order Form

Customer Status*

New - 1st Purchase from Buzzazz
Existing

Sales Representative*

First Last

Company Name*

Customer Name*

First Last

Title*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Office Phone*

Cell Phone

Email*

Existing Website

Buzzazz Services*

Service	Price $	Expected Date of Delivery

Grand Total $*

Today's Payment $*

Monthly Payment $

If needed

Date of Automatic Debit

Treasury Notes*

Final Vital Order Notes*

ANYTHING & EVERYTHING we need to fully deliver this order.

PLEASE UPLOAD THE SIGNED CONTRACT & ANY ADDITIONAL NOTES TO HIGHRISE.

Does this order include a Digital Marketing Service?*

Yes
No

Domain Registrar Access*

Domain Registrar (where the domain name was purchased through Example: Godaddy.com, networksolutions.com, etc.)

Username*

Password*

CMS Login*

CMS (Content Management System) website such as wordpress we will need the administrator login

Username*

Password*

Hosting Provider*

Examples: Godaddy, Network Solutions, HostGator, etc.

Username*

Password*

Other Login Data For Project*

Example: social media, email marketing, etc.

Payment Type*

Automatic Check Withdrawal
Credit Card
Already On File

Card Type*

VISA
Mastercard
Discover

Card Number*

Month*

Expiration Date

Year*

Security Code*

Cardholder Name*

Bank Routing Number

Bank Account Number

Summary of terms & conditions

Delivery Schedules
Guaranteed Delivery within 30 days of receiving full payment, content and access.

Company Financing
If approved for Buzzazz zero interest financing, client agrees to allow auto debits on specific dates to fullfill entire amount of obligation. Services may be delivered prior to or by end of full payment at discretion of Buzzazz.

Service Fees
To help offset some of the expenses and ensure we can continue to provide excellent customer service, you agree to nominal monthly service fees (MSF) and annual registration fees (ARF) for some services listed above. The basic MSF/ARF fees start at $69.95 and $75 and can be higher.

Change Orders
Also, once a project final punch list is approved, other changes can be made. Change orders must be paid separately at $80 per hour or greater.

Service Termination
After initial contract time frames have been fulfilled - unless written differently in a specific contract our normal term of service is for thirty six months - we require a minimum of 30 day written notification of termination. We will immediately initiate terminations upon written notification from the client and the client will be automatically billed and responsible to pay one further month of service fees.

To view the full terms & conditions please CLICK HERE

Authorized Agreement*

I affirm that I fully understand and agree to all payment obligations, order specifics, and Buzzazz terms of agreement as listed above.

If signed by the Buzzazz sales representative below, the sales representative is attesting the client knows and understands Buzzazz terms for their project, or the client has signed a Buzzazz authorized hard copy order form which is or will be filed at Buzzazz.

Summary of terms & conditions

To view the full terms & conditions please CLICK HERE

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