Authorization Form | My Docs AskIGE

By signing this form, I hereby authorize Excel Media Group to charge my credit card on a monthly basis for the amount selected, to continue until cancelled by me in writing.

I understand that this authorization permits Excel Media Group to store my credit card information for future transactions and to process recurring monthly payments using the provided credit card information.

This information will be stored in compliance with all relevant data protection laws and will be used solely for the purpose of processing transactions with Excel Media Group.

I further understand that I may also revoke this authorization at any time by contacting Excel Media Group via email at support@askige.com.

Card Holder Name(Required)

First Middle Last Suffix

Choose a Plan(Required)

Web Hosting Essentials-$10.99/mo.

Web Hosting Essentials Plus- $19.99/mo.

Web Hosting - Essentials Pro $99.99/mo.

Name of your Website(Required)

Enter the URL here: i.e. www.yourwebsite.com If more than one separate with a comma.

Choose a Plan for your additional websites

Web Hosting Essentials-$10.99/mo.

Web Hosting Essentials Plus- $19.99/mo.

Web Hosting - Essentials Pro $99.99/mo.

Note: You must Select a plan for each additional website that we host.

Name of your Additional Website(Required)

Enter the URL here: i.e. www.yourwebsite.com If more than one separate with a comma.

Choose any additional plans

Social Media Campaign- $199.99/mo

Other/One Time Payment

Note: You must Select a plan for each service or fill out an amount in "Other" you would like us to deduct monthly.

Other/One-Time Payment

Click to View a description of our hosting plans.

Card Type(Required)

Specify

Card Number(Required)

CVV(Required)

Expiration Month(Required)

Expiration Year(Required)

Phone Number(Required)

Email Address(Required)

Complete Billing Address(Required)

Street Address City State ZIP Code

By signing below, I acknowledge that I have read and understood the terms outlined above, and I agree to allow Excel Media Group to charge my credit card monthly.

Signature(Required)

Date(Required)

Monthly Billing Setup Form