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information
(877) 320-2299
Toll Free

Team@Affinity-Express.com

361 Woodlawn Manor
Lawrence, KS 66049

Monday - Friday
U.S. Central Time Zone
9 am - 5 pm

Credit Cards Accepted

Please Complete Your Order

You Must Complete Your Order by Entering the Confidential Information Below. All fields in Red are Required. Within one business day we will send an invoice to you at the email address in #2 for your setup and pro-rated annual fee. Indicate your preferred payment method in line 19. All fees are payable in advance. Operation costs for the month in which set-up is complete are included in the setup fee. We provide List service ONLY to Nonprofit Organizations, Churches and other Religious Organizations When you have finished your entries, click Send My Order Now.
1. Person Completing This Form: (First & Last Names)
2. E-mail Address of #1:
3. Title of #1:
4. Primary Contact Person (if different). First & Last Names:	(enter "same" or different name)
5. E-mail Address of #4 (if different):	(enter "same" or different email)
6. Job Title of #4:	(enter "same" or different title)
6b. Names and Emails of List Admins (with ability to send emails to the list for distribution)	(enter one per row, format: Name, email)
7. Organization for Email List:
8. Organization Website: (enter name beginning with 'www' or "none")
8b. Organization Type:	(select one) Nonprofit Organization Church or other House of Worship Other Religious Organization
9. Contact Area Code & Telephone:
10. Address:
11. City:
12. State/Province:
13. Postal Code:
14. Country:
15. Preferred Name for List: (enter 3 names in order of preference. 7 letters maximum. Names like News, Alerts, Newsletter, Bulletin are generally taken. Try something like "AffinityNews" or "Affinity_News")
16. What size list do you need? (list size can be increased later)	(select one) 500 emails or less 501 - 1000 emails 1001 - 2500 emails 2501 - 5000 emails 5001 emails or more
17. Special Features Requested (optional):	(check all that apply) Newcomers Page Upload Addresses Make Presentation Appearance Identical to our Website
18. How Did You Find Us?	(select one) Email Postcard Phone Contact Newsletter Article or Reference Link From Other Site Search Engine Word of Mouth Repeat Customer Other
19. Preferred Method of Payment:	(select one - there is a 2% discount if you pay by check) Online With Credit Card Using Paypal Over The Phone with Visa or Mastercard Check or Money Order
20. Questions or Comments:
21. Please Read and Check the Agreement Box Below The client of Affinity Resources LLC (DBA Affinity-Express) (hereafter referred to as Client) agrees to abide by the following regulations: A. The Client will not use email list supplied by Affinity Resources LLC for the storage or distribution of any image that is considered obscene, pornographic, lewd, erotic, or appeals to the prurient interest of the average person. Affinity Resources LLC reserves the right to make the sole determination of what may or may not fall under the above mentioned categories and such decision will be applied by Affinity Resources LLC without appeal by the Client. B. The Client will not use Affinity Resources LLC facilities for the purpose of sending or receiving the responses of unsolicited, bulk commercial email nor shall the client use Affinity Resources LLC's facilities for the sending of any unsolicited email in any form for any purpose. Neither shall the Client allow any unsolicited, bulk commercial email to be sent that directs the recipient to go to the website of the Client. Neither shall the Client use any of Affinity Resources LLC's facilities to facilitate the harassment of any Internet user in any fashion. C. The Client will not permit any other person(s) to use Affinity Resources LLC facilities for the purpose of violating Client agreement paragraphs A and B. D. The Client grants Affinity Resources LLC the right to investigate any large and/or sustained transfer of data for the purposes of determining if the Client is violating Client agreement paragraphs A or B or C. E. The Client understands that if he or she is in violation of Client agreement paragraphs A or B or C that Affinity Resources LLC will immediately and without recourse terminate the Client's account without warning or refund. By checking this box, you acknowledge that you have read this agreement and that you will abide by all rules and regulations as set forth in this agreement.
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