LMR International Inc.
Debt Eliminator Machine 50 Licenses Special Pricing
Credit Card Authorization Form

Cardholder Name:

Credit Card Number:

CVV2 Expiration Date:

Billing Address:
City:  
State:  Zip Code: (Address where monthly Credit Card statements are received)

Phone Number: (Associated with Credit Card)

E-mail:

Company Name (optional):

Being the cardholder or Corporate Officer, by signing below, I understand and agree to the terms outlined in this agreement, agree to pay, and specifically authorize LMR International Inc. to charge my Credit Card for:

Type in the Box how many blocks of 50 licenses of Debt Eliminator Machine you want at $100 per month per block of 50 Licenses

MONTH-TO-MONTH SUBSCRIPTION OF  A BLOCK(S) OF 50 LICENSES OF DEBT ELIMINATOR MACHINE. Payments of $100 will be charged monthly, starting today, for each block of 50 Licenses, so $2 per License.

We will provide a complimentary (no-cost) CRM License Manager (with Marketing Capabilities) to manage all your licenses, control each client's Debt Eliminator Marketing Area, connect your Authorize.net Merchant Account to charge your clients, and much more.

You can cancel further charges at any time (Training and reasonable unlimited support included).

Comments: 

  Check if you are interested in getting a Merchant Account to charge your clients with credit cards.

Optional:
Check if you want a website like www.DebtEliminatorMachine.com to sell the Debt Eliminator Machine under your own white-label. Pay only $19.95 more per month.  

The Service is billed monthly in advance and is nonrefundable. There will be no refunds or credits for partial months of service, upgrades or downgrades, or unused months with an open account. 

Cancellation and Termination
You are solely responsible for properly canceling your account. An email or phone request to cancel your account is NOT CONSIDERED CANCELLATION. You can cancel your account at any time by filling out the following simple form www.LMRCANCEL.com

Signature Date:

8661 NW 24TH ST SUNRISE FL 33322-3301
Phone: (954) 568-7153 Fax (800) 708-0365