Web Site System Application

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Safety Technology Online Super-Stores System User Application And Registration Form

Please completely fill out the application below. After we receive it, we will email you a link to a form to fill out that will give us the information you want on your website, the domain names you want to use and the designs you want. We can help you with picking a domain name if you do not have one in mind. Your websites will be up within 3 business days after we receive all the information we need. You will be sent start up information by email and other information and bonuses will be shipped to you by UPS.

REMEMBER, you get all of this...

1. You get ONE or TWO Online Super-Store Web Sites -- Your Choice
2. You get your Stores stocked with all my hottest and best selling products -- over 500
3. You get my continuing E-Mail Marketing Tips
4. Monthly Question and Answer tele-coaching calls where you can ask any marketing question
5. Marketing Manual, Image/Text CD, Keyword CD and Crime Reports -- an $89 value -- sent to you FREE!
6. You get my Amazing Affiliate Program added to your website for FREE
7. E-Mail Capture form and Autoresponder with 20 "written for you" marketing messages for each website--Yours FREE
8. FREE Discount Code and Upsell programs added to your shopping cart
9. You get CD and Transcript of 3 previous Coaching Club calls sent to you -- They will get you jump started!
10. FREE month membership in Michael Gravette's Coaching Club which includes an Authorized Dealer link from Safety Technology's web sites to your web sites.

Your Instructions To Us:

“YES, MICHAEL, I AM DEFINITELY READY TO JOIN YOU IN MAKING BIG MONEY IN INTERNET MARKETING!!!!”

Now, let me restate my 120 Days, 100% moneyback GUARANTEE to you:

"If in 120 days you have not at least made the cost of your web site back, then just tell me to shut down your Web Sites...and I will refund every penny you paid for the web sites."

First Name: Last Name:

E-mail: Telephone: Fax:

Street Address: City: State: Zip:

Since Michael Gravette's Guarantee is so strong and he is assuming all the risk he would like to get to know you a little better and your motivation for starting this business. So, please answer the questions below as honestly as possible.

How many hours a week will you be able to invest in this business?

What is your motivation for doing this (pay off mortage, pay off credit cards, help out with your retirement, etc)?

Are you willing to listen to Michael Gravette on matters having to do with marketing your web site?
Yes
No

I want:
(1) Complete Safety Technology Online Super-Store System (both web sites) usually $1997.00, now with the huge Discount of $500.00, reducing my total fee to just $1497.00, plus $60.00 per month for all web site hosting and other services, automatically charged to my credit card. I can, of course, cancel at any time, ending all charges, having my web sites disconnected, and all System User rights and commissions terminated.

(2) One Super Store Web Site for now for total fee of $797.00, plus $30.00 per month for all web site hosting and other services, automatically charged to my credit card. I can, of course, cancel at any time, ending all charges, having my web sites disconnected, and all System User rights and commissions terminated.

(3) I understand I will be enrolled in Michael Gravette’s Coaching Club for one month FREE. The FREE Coaching Club call will be the first one after my websites are up. If I do not wish to continue after the first FREE Coaching Club call, I can notify Safety Technology by writing (fax, letter or email) to cancel. I will receive:

90-Minute Monthly Tele-Coaching with Michael each month (first month FREE)
Membership in the private membership website
All coaching calls will be recorded and transcribed and CD and text mailed to me
MasterMind with other System users
Personal attention to my questions by Michael
Links to my web sites from Safetytechnology.com and Safetytechspy.com

After the first FREE month, I will be charged just $99.00 monthly to my credit card. I can, of course, cancel at any time by sending Safety Technology a note by mail, fax or email, ending all charges.

Payment Preference:

I Want Both Web Sites
Pre-Pay the $1497.00 for both web sites at a $99.00 bookkeeping discount: $1398.00
or
Charge $600.00 now, then just $299.00 a month for 3 consecutive months

I Want One Web Site (we will follow up with you to find out which site you want)
Pre-Pay the $797.00 for one web site at a $49.00 bookkeeping discount: $748.00
or
Charge $397.00 now, then just $200.00 a month for 2 consecutive months

(4) You will need 2 domain names for both web sites or 1 domain name for one web site. You can register these yourself or use ones you already own. If you want us to register the domains for you, please check the box below. We will register the domain names for two years.

Order One Domain Registration...$45.00
Order Two Domains Registration...$90.00

Charge the following cards - if you would like to spread the payments over 2 cards, please provide information for both cards and in the payment instructions box, indicate how much to charge to each card. Also, check the box of the credit card to bill future monthly charges to.

First Card
Use this card for monthly charges.
American Express VISA MasterCard Discover Card
Credit or Debit Card # Expiration Date

Second Card
Use this card for monthly charges.
American Express VISA MasterCard Discover Card
Credit or Debit Card # Expiration Date

Payment Instructions:

Be assured, its completely safe to give your credit card information. The order site is secured using a Thawte SSL Web Server Certificate which encrypts all data to and from the site.

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