Catholic School Solutions - Sign Up Form

School Name
Name of Person Managing the Product
(Website Manager, App Manager, etc) Name of Person Managing the Product
(Website Manager, App Manager, etc) First Last
Email of Person Managing the Product
Phone of Person Managing the Product Phone of Person Managing the Product - ### - ### ####
School Website Address
Which Product(s) are your ordering?

Which Product(s) are your ordering? Website - $99/month Form Builder/Donations - $40/month with website or app | $55/month stand alone Mobile App - $199/month Emergency Alert System (see website page for pricing) Other
I would like to pay

I would like to pay monthly by credit/debit card annually by credt/debit card annually by check
Email (For invoices and receipts)
Phone for Accounts Payable (if different than above) Phone for Accounts Payable (if different than above) - ### - ### ####
Name on Card Name on Card First Last
Card Number
Expiration Date
CVC/CVV Code
Address with Card Address with Card
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Send Annual Invoice To Attention of:
Address to send Annual Invoice Address to send Annual Invoice
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country