SplitInfinity

SplitInfinity Networks in conjunction with the Free Speech Coalition
has created a streamlined way for it's customers to become members.

If you are a customer, or you are becoming a customer at this time,
simply email the information below to [email protected]
with a subject line reading: FSC

SplitInfinity will streamline the enrollment process and bill you for your
membership dues on your monthly statement.

Be sure to give all your SplitInfinity account details.


COMPANY MEMBERSHIP TYPES AND ANNUAL DUES
<caron> Manufacturers, Production Companies, Distributors, Internet/Websites, Mail Order, & Industry Support Services
Annual Sales Volume: Dues:
<caron> $10,000,000 & Over $8,000
<caron> $5,000,000 - $9,999,999 $4,000
<caron> $1,000,000 - $4,999,999 $2,000
<caron> $500,000 ? $999,999 $1,000
<caron> $200,000 ? $499.999 $500
<caron> $100,000 ? $199,999 $300
<caron> $0 ? $99,999 $100
<caron> Talent Agencies, Law Firms $500
<caron> Dance Clubs, Retail/Rental Stores (physical locations) $300 per site

First Name: _______________________ Last Name: ____________________________
Company: ________________________ Title: ___________________________ ______
Please list any additional DBA Company Names on an additional sheet of paper.
Address: __________________________________________________ _________________
City: _____________________________ State: _________ ZIP: __________________
Phone: ___________________________ Fax: __________________________________
Email: ____________________________ Website: ______________________________

PLEASE ENTER TOTAL AMOUNT $____________________

Please bill me:
<caron> For the full Amount
<caron> In monthly payment

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