SECURE FORMS HOSTING ORDER Your email address: If you already have your forms created please list the url(s) (the web address) from your present site so we can download them and install them at secureprocessing.net. We will then issue you a url that you must use to update the links on your web site pages. This new url will link your forms from secureprocessing.net to your site. If you do not have your forms designed, please fax a description of what you'd like on your form(s) to: 360-598-6586 and we will get back to you with an estimate for building your form(s). NOTE: If fax line is busy, please call to let us know. CONFIGURATION FEE This fee covers the time it takes to configure your forms to work on our server, issue you a login and password, set-up of html page(s) where you can retrieve your secure form information, setting up a SecureProcessing entry page and insuing you a unique url you can use to link your site to ours. Configuration for 1 form - $39.95 Configuration for 2 forms - $59.90 ( $39.90 + $19.95 for each additional form) Configuration for 3 forms - $79.85 ( $39.85 + $19.95 for each additional form) Configuration for 4 forms - $99.80 ( $39.85 + $19.95 for each additional form) Configuration for 5 forms - $119.75 ( $39.85 + $19.95 for each additional form) HOSTING FEE SELECTION 1 Form $9.95/month 2 Forms $14.90/month ($12.95 + $5.95 per additional 3 Forms $19.85/month ($12.95 + $5.95 per additional 4 Forms $24.80/month ($12.95 + $5.95 per additional 5 Forms $29.75/month ($12.95 + $5.95 per additional The hosting fee is a monthly charge. It will automatically be charged to your credit card and an email invoice will be sent to you each month detailing the charges. PAYMENT INFORMTION NOTE: Secureprocessing.net is a division of element3, inc. Charges appearing on your bill will be from element3. Visa MaserCard American Express Total amount to be charged on card. Name exactly as it appears on the card Card Number Expiration Date Name exactly as it appears on credit card: Company Name: Address where credit card bills come to: City, State, Zip: Phone: Fax: QUESTIONS/COMMENTS: Please let us know how you found us!   Rates | Contact Us | Home Page SecureProcessing, Secure Processing, Secure Transactions, Secure Transaction, Internet Security, Secure Forms, SSL, Secure Socket Layer, Versign, Verisign Certificate, Forms Processing, Encryption, Affordable, Shared Verisign Certificate. SecureProcessing.net - making secure transactions affordable, providing professional data encryption technology for or as little as $10 a m