B Leads LLC Insertion Order


How Billing Works:

You authorize B Leads LLC to charge your Visa, MasterCard, American Express or Discover credit card. You will be charged the amount indicated when your lead balance gets below $100.00. A receipt for each payment will be emailed to you and the charge will appear on your bank or credit card statement as a “Credit debt.” You agree that no prior notification will be required to charge your account.  

I, of , understand that this authorization will remain in effect until I cancel it in writing.  I agree to notify B Leads, LLC in writing of any changes in my account information or termination of this authorization at least 7 days prior to the next billing date. If the above noted 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debits to my checking/savings account, I understand that because these are electronic transactions, these funds may be withdrawn from my account as soon as the above noted periodic transaction dates.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) I understand that B Leads LLC may, at its discretion, attempt to process the charge again within 48 hours, and agree to an additional $100 charge for each attempt returned NSF, which will be initiated as a separate transaction from the authorized recurring payment.

I acknowledge that the origination of ACH transactions to my account must comply with the provisions of U.S. law. 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. Please review all Terms and Conditions at http://bleadsllc.com/terms-conditions/

Customer Details:

Company Name:  

Main Contact Full Name:

Email:  

Phone:  

Billing Address:  

City:  

State:  

Zip Code:  

Starting Date: 01-01-1970 

Preferred Timezone:  

Business Hours: to  

Lead Delivery Instructions:  

Posting Instructions:  

Campaign Details [Campaign Name, Lead Cap]

Campaign 1: |  

Campaign 2: | 

Credit Card Authorization:

Credit Card Type:  

Credit Card:  

Expiration Month / Year: |  

CVC:  

Authorized Amount:  

 

Leave this empty:

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Signed by Amanda Gray-Nettleton
Signed On: November 4, 2019

B Leads LLC Pittsburgh https://bleadsllc.com
Signature Certificate
Document name: B Leads LLC Insertion Order
lock iconUnique Document ID: 7c2707a7a132e1deda44811ccf700f675bcee2d6
Timestamp Audit
October 22, 2019 2:48 pm EDTB Leads LLC Insertion Order Uploaded by Thomas Bianco - tbianco@bleadsllc.com IP 24.9.40.103
October 24, 2019 6:57 pm EDTThomas Bianco - tbianco@bleadsllc.com added by Amanda Gray-Nettleton - Amanda@agencyshieldllc.com as a CC'd Recipient Ip: 24.9.40.103
October 25, 2019 5:19 pm EDTThomas Bianco - tbianco@bleadsllc.com added by Amanda Gray-Nettleton - Amanda@agencyshieldllc.com as a CC'd Recipient Ip: 40.133.126.14
October 25, 2019 5:28 pm EDTThomas Bianco - tbianco@bleadsllc.com added by Amanda Gray-Nettleton - Amanda@agencyshieldllc.com as a CC'd Recipient Ip: 40.133.126.14
October 28, 2019 4:47 pm EDT Document owner Amanda@agencyshieldllc.com has handed over this document to tbianco@bleadsllc.com 2019-10-28 16:47:46 - 24.9.40.103
October 28, 2019 4:48 pm EDTThomas Bianco - tbianco@bleadsllc.com added by Thomas Bianco - tbianco@bleadsllc.com as a CC'd Recipient Ip: 24.9.40.103