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Personal Information

Applicant's Name

Business Name (DBA, if applicable)

Billing Address

Address 2

City

State or Province

Zip/Postal Code

Country

Phone #1

Phone #2 (optional)

Fax (optional)

E-Mail

Leaders Club ID (if known)

Account Setup Information

 

Base Account $9.95/monthly (includes 5,000 outgoing messages, each additional 5000 messages billed at $5 per 5000 message block)

      • Password Selection
        Choose a username and password to access GlobalGroupSend.com. Your username will be part of your assigned e-mail address (e.g. username@GlobalGroupSend.com) Usernames can be a maximum of 12 lowercase letters and digits. Passwords must be 4 to 15 letters and/or digits and is case-sensitive. We recommend adding a number to all passwords.

Username

Password

Confirm Password

Payment Setup Information

Credit Card Type

Credit Card Number

Credit Card Expiration Date

 

Name On Card

      For security reasons, the billing address to the above listed card must be identical to the address listed above.

      All subscriptions automatically renew on the first of every month. Charges for additional messages are computed at month end and billed automatically.  Charges will appear as “Target Media - Columbus, OH”. Cancel anytime.  Once charged all services are non-refundable.

 

If you were referred by an existing Global Group Send user please enter their User ID in the box below. In doing so they may qualify them to receive a free month of service.

Referred By (optional)

Usage Agreement

Please check the information you have entered. If it's correct, then we're ready to process your registration. Click “I Agree, Submit This Form” to complete your registration. If you'd like to clear the information you entered and start over, click the Clear Form button.

 I agree to abide by the GlobalGroupSend.com Anti-Spam and Usage Policy.

    

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