I-Relay: Signup for One Great CRM!

You're almost done. A two more steps and you are on your way!

Here is what you are signing up for:

Product	Quantity	Sub Total:

Express Launch		$99.00

I-Relay Monthly License - Per User		$1,000.00

One on One Web Training		$125.00

Total:$1,224

Note: I-Relay license(s) are a re-occurring fee that will automatically be billed to your credit card on file. Billing for monthly licenses are done so on a quarterly basis. The name that will appear on your credit cards statement will be InsureSocket.

Billing and Contact Information
First Name*
Last Name*
Company Name*
Phone Number*	ext
Address 1*
Address 2
City*
State, Postal*
Email Address*
Best Time To Call
End User and Confidentiality Agreement
Agree to End User Agreement*	Yes No You must select "Yes" to proceed with your purchase


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