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Payment method |
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Contact Name |
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First and last
name of the main person, as it appears on card
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| | Card Number |
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Card expiration |
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| | Account Plan |
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Account name
suggested |
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4 to 12 characters, made from letters and/or numbers.
Several suggestions can be listed, in order of preference
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| | Company Name |
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| | Company Title |
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required if Company field is filled |
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Address Line 1 |
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Address line 2 |
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| | City |
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| | State or Province |
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Zip
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| | Country |
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Email |
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| | Main phone |
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If outside US,
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| | Other phone |
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include country code
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Domain Name(s)
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Domains can be added or removed after opening the account.
RootR will also assign a domain under [login].rootr.net,
at no additional charge.
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| | Note |
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Motivating causes/features |
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Where heard |
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The information in the form above can be edited after account opening
Re-read to ensure spelling of email, card number, contact person name and other data.
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By Selecting "Yes" bellow,
you confirm to have read and agreed with Rootroute Terms of Service at this URI:
http://www.rootr.net/terms.html, and you are confirming this order:
[ Yes ] [ No ]
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Card Frauds are traced and reported.
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