Simple Source Solutions - Small Business Website Design providing Big Business Presence at Small Business Prices

Basic Package Authorization


	What type of payment plan would you like?
	One Year at $120 per month Two Years at $75 per month


	Customer Agreement and Electronic Signature
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Print Agreement

	Simple Basic Annual Agreement and Electronic Signature
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Print Agreement

	Customer Agreement Acknowledgement
	I have read and understand that by completing this form I am agreeing to the terms and condition stated in "Your Simple Source Solutions Customer Agreement" above.


	I have read and understand that by completing this form I am agreeing to the terms and condition of the Annual Contract Agreement above.
	Please type your name in the spaces below to electronically sign the customer agreement.:
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	Please re-type your name in the spaces below to confirm your electronic signature:
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