Sonic Global Reach
769 Center Blvd 120
Fairfax, CA 94501
Fax: 510-217-4406
Tel: 510-388-5969

Membership Order Form / Agreement

Please print out this page and complete the information below and fax with credit card information (see fax # on top of page) or mail to the address. Once we receive the signed contract back, your membership can begin and we can start emailing you leads. By signing the below contract, you agree to pay Sonic Global Reach for each lead emailed to your organization. Credit card will be charged by the 5th of each month for the leads received in the previous month, after permision and confirmation from the schools' main contact, as shown below.


School Information

School name _____________________ Contact name ________________________

Contact telephone _____________________Contact email _____________________

Billing Address ________________________________________________________


Lead Pricing Information

$15 per lead that is regionally specific (within your metro region) and school category (Ex: Massage school, Phoenix)
$20 per lead that is school specific (Ex: Sedona School of Massage)

Payment Information

Credit Card Payment form: (please fill in each line for correct processing)

Card holder name (as it appears on card) ________________________

Type of card: (Visa, Mastercard, etc.) __________

Card #: _________________________

Expiration date: (month/year) ________

Three digit # on back of card: ________

Cardholder Address: ________________________  
                                      ________________________

_______________________________
Please sign above. PrintName:

Date: