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Business Information Form

If you have not already spoken to a Bruce Clay sales person then click here

This form is to officially accept the terms of the previously submitted and discussed proposal and permit us to prepare legal project agreements.

If you have not yet received a proposal, please discuss this with a salesperson. Our proposals are provided at no fee under most circumstances – Request Proposal.

By completing the below form you are requesting documents (Statement of Work and Master Services Agreement) appropriate to the discussed Project.

Project Contact Information
First Name*
Last Name*
Job Title
E-Mail Address*
Phone Number*
Fax Number
Billing Contact Information
First Name*
Last Name*
Job Title
E-Mail Address*
Phone Number*
Fax Number
Legal Business Information
Legal Business Name*
Billing Address Line 1*
Zip*
Address Line 2
Country*
City*
State*
Payment Plan:
Billing Frequency
 Monthly Payment Plan
Annual Payment Plan (10% Off)
Other Payment Arrangement
Term Legth
 1 Year Agreement w/ 6 month Opt-out
 2 Year Agreement w/ 1 year Opt-out
 Other Term Agreement
Initial Payment Method
Credit Card
Company Check
Wire Transfer
Subsequent Payment Method
Credit Card
Company Check
Wire Transfer
Service Information
Web Site (s)
Training Student (s)

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