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Please read the Terms and Conditions. By submitting
this application, you indicate that you understand and agree to these Terms and Conditions.
Please Tell Us About Yourself...(NOTE: If you already have a BellaCoola Account, please use the “Add an Additional Sub-Account”
form in the Client Area to ensure quick processing)
State or Province:
AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaii
MississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth Dakota
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Zip / Postal Code:
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Tell Us About Your Site...
New Sub-Account´s Name:(e.g. Acme Marketing)
New Sub-Account´s Base URL:(e.g. http://www.acme.comorhttp://www.isp.com/~acme)
New Sub-Account´s Domain Aliases:(1 per line)e.g. http://www.acme.comhttp://acme.com
Approximate Monthly Traffic:(i.e. Impressions or Page-views)
Less than 1,000 page-views/month1,001 - 10,000 page-views/month10,001 - 30,000 page-views/month
100,001 - 500,000 page-views/month500,001 - 1,000,000 page-views/monthMore than 1,000,000 page-views/monthNot sure
*Choose your Pricing Plan...[Click for full feature list]
Intro 1K: 9.99/mo + 1.39/1000 impressions after 1,000
Basic 10K: 19.99/mo + 0.59/1000 impressions after 10,000
Growth 100K: 49.99/mo + 0.49/1000 impressions after 100,000.
*All amounts in US Dollars. Applicable taxes extra.
Save up to 20%! [Click for full details]We hate paperwork and are willing to pass our cost savings on to you.If you have a high-traffic site, have multiple sub-accounts, want to pay for multiple months at a time, or want to resell our services to your clients, then you can have your account credited with extra bonus dollars based on the amount paid at any one time.
We hate paperwork and are willing to pass our cost savings on to you.
If you have a high-traffic site, have multiple sub-accounts, want to pay for multiple months at a time, or want to resell our services to your clients, then you can have your account credited with extra bonus dollars based on the amount paid at any one time.
I want to pay month-by-month. Please calculate how much I owe each month and automatically bill my credit card (no bonus for amounts under $100)
I want to make a single $100 payment. Please credit my account with $110—a 10% bonus!
I want to make a single $500 payment and save even more. Please credit my account with $575—a 15% bonus!
I want to make a single $1000 payment and save the most. Please credit my account with $1200—a 20% bonus!
I want to pay $. Please credit my account with the appropriate bonus!
*Choose your Method of Payment...
Name on Card:
010203040506070809101112 / 2007200820092010201120122013
Signature:(re-type name if submitting online)
Check or International Money Order
(To speed processing if paying by Check or Money Order, please submit this form electronically and then send your payment to the address below)
Send your payment (payable in US Dollars) to:BellaCoola Software Corporation2346 Hamiota StreetVictoria, British ColumbiaCANADA V8R 2N2
** To ensure that your payment is credited to the correct account,please write your email address on your check / money order **
Additional Instructions:Other questions, comments or requests:
I agree to the Terms and Conditions *
We guarantee your satisfaction with our service.If for any reason you are not satisfied, let us know and we´ll either make it right or refund your unused balance.
If you prefer to mail or fax your order to us, please print out this form and send it(along with your payment in US funds)to:
BellaCoola Software Corporation
2346 Hamiota StreetVictoria, British ColumbiaCANADA V8R 2N2If faxing your order, please use black ink to fill in the required information.
If faxing your order, please use black ink to fill in the required information.
Your account will be activated as soon as we have processed your payment.
To place your order by telephone,have your VISA or MasterCard ready and call the
WebHound Order Deskat:250/384-62379 AM – 5 PM Pacific
BellaCoola®, WebHound® and Adios® are registered trademarks of BellaCoola Software Corporation.BellaCoola Software Corporation, 2346 Hamiota Street, Victoria BC CANADA V8R 2N2 Tel: 250/384-6237 Fax: 250/384-4197 email: Copyright ©1996-2004,BellaCoola Software Corp., All Rights Reserved
BellaCoola Software Corporation, 2346 Hamiota Street, Victoria BC CANADA V8R 2N2 Tel: 250/384-6237 Fax: 250/384-4197 email: Copyright ©1996-2004,BellaCoola Software Corp., All Rights Reserved