New Client Registration Please enable JavaScript in your browser to complete this form.Please complete our Registration form, payment authorization, read the terms thoroughly, auto-sign and submit.How did you hear about us or who referred you?Name *Email *PhoneAddressAddress Line 1CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeTime ZoneBirthdayYour Company's NameIf you’re a Mary Kay Sales Director or National, please include your Unit and/or Area NameYour Business WebsiteDo you have a particular design style? (Modern, Bold, Elegant, etc.)Which services are you starting?Which services are you thinking about for the future or that you need more information on? Your payment to be automatically deducted from your bank account, or charged to your Visa, MasterCard, American Express or Discover Card. Just complete and sign this form to get started! Recurring Payments Will Make Your Life Easier: It’s convenient (saving you time and postage) Your payment is always on time (even if you’re out of town), eliminating late charges Here’s How Recurring Payments Work: Each month end, you will receive your Invoice via email from Eden@EdensSite.com featuring your services since the previous invoice. That invoice will be automatically processed during the week of the 15th-21st of the following month. You authorize regularly scheduled of any open/unpaid invoice you have to your checking/savings account or credit card. A receipt for each payment will be emailed to you upon processing your card through ProPay’s Secure Credit Card Processing Server. You agree that no prior-notification will be provided unless the processing date or invoice amount changes. Should the billing date fall on a holiday or weekend, know that your card could be processed during the next business days. If you have any questions please call Eden directly at (207) 399 - 4628 . Debit/Credit Card Authorization Please complete the information below.I _______ authorize Eden’s Site to charge my debit/credit card for the amount indicated on my Invoice during the 15th-21st of each month for payment of my Invoice. I also am acknowledging that I have read and fully understand the paragraph below regarding past due payments, collections and legal acquit required to obtain a past due debt. I understand that this authorization will remain in effect until any past due balance is cleared and I agree to notify Eden’s Site in writing of any changes in my account information at least 15 days prior to the next billing date. If payment dates fall on a weekend or holiday, I understand that the payments may be executed on the next business day. For ACH debits to my checking/savings account, I understand that because these are electronic transactions, these funds may be withdrawn from my account as soon as the above noted periodic transaction dates. In the case of an ACH Transaction being rejected for Non Sufficient Funds (NSF), Do Not Honor, or Declined Card I understand that Eden’s Site will at its discretion, continue to attempt to process the charge again during the next billing cycle, and agree to an additional $5.00 charge for each attempt returned NSF, DNH or Declined Card which will be added to your Invoice balance. Should payment not be resolved by the 22nd day of that month, a $10.00 Late Fee will accrue on top of the $5.00 Declined Card Fee. If Eden's Site does not hear from me with resolution of payment, they will continue to attempt to process my card again for my late invoice at their discretion to clear my balance, until my balance is cleared. I acknowledge that the origination of ACH transactions to my account must comply with the provisions of U.S. law. I understand that each month that goes by with no resolution of payment, additional Fees (late fee and declined card) will apply, unless my card goes through successfully and my balance is cleared. After 2 months of non-payment, I understand that Legal Action can be taken and my account will be sent to debt collections and I am agreeing that I am 100% responsible for any and all legal fees as well as paying my balance owed, including all late fees and declined card fees. I understand that there are no exceptions to this. I am acknowledging that even if my account is sent to debt collections, or further legal action has been taken, that Eden's Site Virtual has the authority to continue to contact me via any means necessary until the debt is resolved. I certify that I am an authorized user of this credit card/bank account and will not dispute these scheduled transactions with my bank or credit card company; so long as the transactions correspond to the terms indicated in this authorization form. If you have any questions please call Eden directly at (207)399-4628 Credit Card Details Billing AddressAddress Line 1CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodePhoneEmail *Read and authorize details in the paragraphs below.I understand that under no circumstances am I able to alter, edit, change, copy, remake, etc., anything that EdensSite Virtual Assistant Services creates, sends, designs, for me or any other client, including free or promotional designs EdensSite Virtual Assistant Services shares with all clients. Should there be a need for edits to designs/products EdensSite Virtual Assistant Services has made, I agree to contact EdensSite Virtual Assistant Services and EdensSite Virtual Assistant Services will solely make those changes at EdensSite Virtual Assistant Services standard minute rate for edits. If I am caught violating these terms, I understand and I am breaching my contract with EdensSite Virtual Assistant Services, they can cease service immediately. On top of ceasing services, I could be charged a penalty/fee of up to $100 which would cover the cost of any edits, changes and new work that would have been through EdensSite Virtual Assistant Services.I have read the above regarding copying, editing, stealing, plagiarizing, altering, etc. designs/products from EdensSite Virtual Assistant Services and I agree to those terms. I authorize EdensSite Virtual Assistant Services to charge me (the client registering this form) for any invoice, service, penalty/fee. I also understand that paying for a design does not give me the rights to edit, change, copy, etc. any backgrounds, designs, graphics, fonts, text, etc. All designs/products belong to EdensSite Virtual Assistant Services.Card Number *Cardholder Name *Expiration DateSecurity Code *SignatureClear SignatureDate *You are 100% responsible for any card fees, late fees and any fees associated with us attempting to collect the debt owed to us including all legal fees, no exceptions.Submit
