Church Solutions - Sign Up Form

Organization Name *
Organization Website Address (URL / Domain Name)
Name of Person who will manage the product
(who will edit the website, app, etc) *
Email of person who will manage the product *
Office Phone of person who will manage the product
Mobile Phone of person who will manage the product
(so we can text you when the product is ready)
Product(s) *

Product(s) Website - $75/month ($0 setup) Mobile App - $150/month ($0 setup) Form Builder - $30/month with website or app | $55/month stand alone ($0 setup) Ministry Scheduler - $50/month Event Registration System - $50/month Prayer Wall - $35/month Other 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 addresses to which invoices and receipts should be sent.
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
Notes