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Secure Order Form for Real Estate American Express fraud protection - Visa - MasterCard

This form provides secure ordering for Real Estate Web Sites by Aufrance Associates.

To order, complete the form below. Within one business day, you will be contacted by Aufrance Associates. Need immediate service? Call (775) 841-1193 9 a.m. - 5 p.m. Pacific Time.

(All information on the following form is required.)
Your Name:
Company Name:
Your E-Mail Address:
Street Address:
City:
ST/PROV:
Zip/Postal:
Phone:
Website URL:
I would like to order:

REI Personal Agent Real Estate Site Hosting ($150 setup & $35 per month flat fee.) IDX included for the following realty boards: Northern Nevada, South Lake Tahoe, Tahoe Sierra. (No other regions IDX services are available.)

Real Estate Internet Searchable Database Site ($495.00 setup and $35 per month basic fee. High traffic surcharges may apply. (Does not include IDX.)
REI PLUS Internet MLS Site ($1,200.00 setup and $50 per month basic fee. High traffic surcharges may apply. (Does not include IDX.)

I authorize Aufrance Associates to charge my credit card for the items selected above. Setup fee is billed at time of setup. Monthly fees are billed during the first week of the month for the prior month's services.

Credit Card Type (Visa, MC or Amex only): required
Credit Card Number:

required
Credit Card Expiration Date: required
How did you hear about us?

Special requests or other notes:

 

Help...

If your Web browser doesn't indicate a secure connection, reload this form using Secure HTTP by clicking here.

Please fill out the order form in its entirety.

When you click on the Submit button, you will see an acknowledgement page that your order was received.

Within one business day, we'll give you a call to arrange setup of your services or verify your purchase.

Paying by check or money order? Just print out this page and mail your order to the address below, or fax it to us at (775) 841-0671 (M F 9am-5pm Pacific Time)

  Site Map  |  Contact Us  |  Call us: (775) 841-1193 9AM-5PM M-F Pacific Time
©1995-2012 Aufrance Associates. PO Box 1600, Carson City, NV All rights reserved.
Calendar Internet, Survey Internet, JobSite, OrderIT!, Real Estate Internet & REI PLUS are all trademarks and software products registered with the US Copyright Office as original work or derivatives thereof by Aufrance Associates. Used with permission where licensed.