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Agreement
entered into by and between Retail Collection
Attorney Network, hereinafter referred to as
RCAN, and ______________________________________________ the
undersigned, hereinafter referred to as the
Member.
RCAN
and the Member mutually agree as follows:
(Attorneys fill out 1A - Vendors fill out 1B)
1A.)
The Member
(Law Firm) will be listed in the RCAN network for
the city of _________________________ , the
state of ______________________ and the
country of _________________________ for a period of one
year from the date of this agreement.
Add
additional countries at $200.00 per
country_______________________________________
Add
additional States at $200.00 per state
___________________________________________
Includes
free city of choice per additional
state________________________________________
Add
additional cities at $100.00 per
city______________________________________________
1B.)
The Member (Vendor)
will be listed for the category
______________________ for a
period of one year from the date of this
agreement which includes a free state or country
listing for category
chosen_______________________________.
Add
additional categories at $200.00 per
category______________________________________
Add
additional countries at $200.00 per
country________________________________________
Add
additional states at $200.00 per
state_____________________________________________
Add
additional cities at $100.00 per
city_______________________________________________
2.)
Payment Options:
In
consideration whereof, the Member agrees to pay
the sum of
($595) plus $200.00 for each additional state,
country or
category selected if applicable and $100.00 for
each additional city selected if applicable for an annual membership to RCAN via
check or credit card which shall become
due and payable at the time this agreement is
executed by Member. Please indicate how you wish
to pay:
-
(
) Check for $595.00 plus additional
city, state, country or category fees if applicable to Retail Collection
Attorney Network, P.O. Box 760, Boca Raton,
Florida 33429
-
(
) $595.00 plus
additional city, state, country or category fees if
applicable via credit card charge by filling
in your credit card information below.
-
(
) The
Member may choose to pay via credit card in installment
payments which will be $59.00 per month
plus additional states, countries or categories at
$16.67 per state/country/category per month if applicable,
and $8.33 for each additional city per month
if applicable which are to be debited monthly for 12 months with your
written authorization below.
| *All
charges to your credit card will appear on
your credit card statement as Columbia
Financial International, Inc. |
3.)
RCAN
reserves the right for any reason deemed by it
sufficient in the protection of its interests,
at any point to terminate this agreement by
refunding to the Member the unearned amount of
any sum paid, covering the then un-expired
portion of this agreement.
4.) The
term of this agreement is for a period of one
year from the date executed below and will
continue in force and in effect under the same
terms and conditions as set forth herein from
year to year, unless sooner terminated by RCAN
as foresaid, or by the Member via written notice
sent by registered mail to RCAN not less than
sixty (60) days prior to the expiration of any
contract year.
5.)
This agreement shall not be effective
until executed by a duly authorized
representative of RCAN.
The annual membership comes with the
understanding that as a Member, you may receive account
referrals from RCAN and that your membership
listing in RCAN is for marketing purposes only
and that your listing is not based upon either
the quality or the amount of referrals that are
sent to your office.
6.)
It
is solely the responsibility of the Member to
inform RCAN of any changes in your listing.
IN
WITNESS WHEREOF, Member has by its duly
authorized representative, hereunto subscribed
their name and in doing so accept and agree to
all parameters as set forth in this agreement
and wish to become a member of the RCAN Network,
this_______ day of ____________,
in the year _____________.
Member Name:
______________________________________________________________
Attention:
___________________________________________________________________
Authorized
Member's Signature_______________________ Print
Name________________
Address :___________________________________________________________________
City:
_________________________
State:
_______________Zip:__________________
Phone:
___________________ Fax:
_____________800#___________________________
E-Mail:
_____________________Web Address:
___________________________________
Credit
Card _______________Card
#__________________________Exp
Date:___________
(
) I authorize RCAN to charge my credit card
the full annual membership fee of $595.00 plus
$__________ for additional cities, states,
countries or categories
selected.
Card
Member Signature:
________________________Date___________________________
(
) I authorize RCAN to charge my credit
card $59.00 on the date I sign this agreement
plus ______X $16.67 for additional states,
countries or
categories selected and _____X $8.33 for each
additional city selected and every 30 days for a period of 11 months to
pay for my annual membership in RCAN.
Card
Member Signature:
___________________________Date_________________________
Please
choose each area of debt collection that your
firm practices in: (For Attorneys Only)
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