Kissa's Kreations Mary Kay Enrollment and Payment Form

KK MK Enrollment Form

Website Setup and Maintenance Service

*Service Packages:

*Setup Fees:

Monthly Hosting Fee:

Site Theme:

Domain Name:

www.yourname.com (Will be charged yearly)

Grand Total:

Demographics

Admin Username:

(For Editing)

Admin Password:

(For Editing)

Login Password:

(For Consultants)

Consultant Number:

InTouch Password:

Unit Number:

Unit Name:

National Area:

You national`s name

Career Level

Unit Size

(Active)

Seminar:

Contact Information

*First Name:

Same name as on your card

*Last Name:

Address:

Where your statement is mailed

City:

State:

*Zip Code:

Home Phone:

Cell Phone:

Website:

E-Mail:

Valid e-mail is required

Credit/Debit Card Information

Billing Date:

*Card Type:

*Card Number:

No dashes or spaces please

*Expiration Month:

From your card

*Expiration Year:

From your card

Other

Who Referred You?

Questions/Comments:

By submitting this enrollment form and use of our services implies that you have read and accepted ALL of Kissa`s Kreations Terms of Service. Please note that the prices and information contained herein is subject to change without notice. See the most recent revision date. Please review this page often to be aware of any updates to our Terms of Service policy. The start up and first month fee is required before any work is begun. 

Cancellation Policy:
 When discontinuing service, we require a 60 day notice. Failure to do so will result in a $100 termination fee. We must have 5 business days to remove our content BEFORE closing your site or giving out your editing password to a new company if you are switching to another service provider. Failure to do comply will result in a $150 fee plus future per graphic non-removal fees if we are not allowed to do so. Days left on your billing cycle will not be refunded. As an FYI, it runs one month forward of you billing date. If you cancel in your first 90 days there will be a cancellation fee of $200.

*I Agree:

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