http
s
://www.tipages.com/9.95internet.html Sign-up Dealer
to
Timco/USA CityMall
date
Gray area dealer only.
Initial setup charge to dealer
Customer Info
company (optional)
Name
Address
City
State
Zip
Home Phone
Work Phone
Fax
Start with a letter
Write Username. 3-8 Characters
If username is in use, suffix added: 1,2,3
Write Password 6-10 Characters
Date of birth for security reasons
$9.95
Monthly-$9.95
(minim deposit for credit $20)
$8.33
$49.95 (six months prepaid required) no set-up fee, no tax
Method
Credit Card
Check Mail
Cash Mail
CrCrd type
Master Card
VISA-------
AMEX----
Discover
Name as it appears on card
Card Number
Expires:
(Charges will be made during the week preceding the month for which payment is due)
I (We) hereby authorize Timco, Trip.net, Awesomenet hereinafter referred to as "COMPANY, to initiate debit entries (withdrawals) to my (our) credit account as indicated above, and Credit Card company to debit the same to such account. This authority is to remain in full force and effect until COMPANY and Credit Card Company have received written notice from me (or either of us) of this term- ination in such time and in such manner as to afford COMPANY and Credit Card Company a reasonable opportunity to act upon it.
_________________________
Signature
_________________
Date
Comments
Submit Form
Permanent Email $3 per year
@theAliceCoyotes.com
@theAliceCoyotes.com
@theAliceCoyotes.com
Copyright © 1999 Timco, AliceUSA. All rights reserved.