Octoinfo
Informer Network©
3206 Eddy Ct. Indianapolis, In. 46214
Request Voice SERVICE APPLICATION FORM
Fax completed form to 317-293-1626
Contact Name:________________ Company: __________________________________________
Physical Address: _______________________________________________________________________
City: ___________________________________ State: ____ Zip: _______
Office Phone: ___________________________ Alternate Phone: ____________________________________
Fax: Contact Email: _____________________________________
Payment Arrangements _______________________ Billing Email:_______________________________
Type of Payment: q PayPal q Draft Bank Account q Check q In Kind (GOLD Spot Price + 9 Points FOB Indianapolis In. 46214)
Draft Bank Client Only:
This is my Authorization Agreement for automatic debit on my bank account to Octoinfo.
I hereby authorize Octoinfo to initiate debit entries to my bank account listed below as needed for services rendered.
Bank Account # __ __ __ – __ __ __ __ – __ __ __ __ Routing # ____ - _______ - ____ Bank _____________________
Address: ___________________________________________________________ Phone # ___________________
City: ________________________________________ State: _________ Zip: ___________________
Name as It Appears on the Account (please print) _______________________________________________________________
Authorization Signature (name as it appears on the Account)
This authorization is to remain in full force and effect until Octoinfo has received written notification from me of its termination.
______________________________________________________ Date____________________________________
• Audio – Announcement (10 Minutes), Interview (20Minutes), Conference (30 minutes, up to 4 persons.) Converted to MP3
Episode – production, announcement, music, conversion to MP3, audio link for web site, download and email.
ü Syndication Audience – Social bookmarking $ 75.00
Pro Episode – production, announcement, music, conversion to MP3, audio link & icon for web site, download and email.
ü Syndication Audience – iTunes, Social Bookmarking, Business Database $ 95.00
Interview – one on one question/answer dialogue of business development, testimonials, projections, production, MP3, music, audio link, icon download.
ü Syndication Audience –iTunes, Social Bookmarking, and Business Database $ 125.00
Conference – 2-4 persons, discussions, details, developments, directions, projections. Production, MP3, music, audio link, icon for site download, email.
ü Syndication Audience – iTunes, Social Bookmarking, Business Database $ 150.00
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SERVICES & RATES
TERMS AND CONDITIONS
I hereby certify that the above information is true and correct and that Octoinfo has my permission to use this information.
I agree to guard all Conference Entry Codes and keep them confidential to prevent any unauthorized usage on my account.
If I do suspect any unauthorized usage, I will report it to Octoinfo immediately at 317-293-1626.
In no event shall Octoinfo or its affiliates and agents be liable for any incidental, special, consequential or punitive damages including loss of use, profits, revenue or goodwill. I understand and agree there are NO refunds, NO reruns, NO guarantee provided by Octoinfo.
I agree to be placed in any bookmarking group, directory, category, or channel, Octoinfo can provide for same price.
Octoinfo shall not be liable for any failure of performance due to causes or circumstances beyond Octoinfo’s control, nor shall Octoinfo be liable for any act or omission of any other person or company furnishing any portion of service.
I therefore authorize Octoinfo to immediately commence voice operations.
CUSTOMER SIGNATURE_____________________________________________DATE____________________
Voice Artiste Charles J. Quattrocchi, Jr. Phone Number: 317-293-1626 E-mail: informer@octoinfo.com
