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RETAIL CUSTOMER ORDER FORM
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AGREEMENT: I agree to
the terms of
use and privacy policy for this enrollment as a customer of the Nexxus University. I understand that I can cancel at anytime by submitting a written request to customer support.
RETURN
POLICY: I understand that if I am not completely satisfied
with the quality and value of my service that I may cancel my
service within the first 30 days. |
1400 Preston Road, Suite 400, Plano, TX 75093 USA - [email protected] +1 (972) 665-9783
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Welcome from: Nexxus Partners |
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CUSTOMER INFORMATION: Enter your name, email, mailing address and phone number. |
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I'm an Existing Customer |
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Existing Customer #: |
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Company |
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Email: |
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Mailing Address: |
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Postal Code |
Country |
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Phone: |
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LOGON / PASSWORD: Enter a unique Logon name and Password to be used to access your secured system. Your logon and password will be emailed to you. Please keep your logon and password in a safe place. You can contact customer support if you need this information later. |
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Logon: |
(6 character minimum) |
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Password: |
(6 character minimum, use only characters, numbers or punctuation) |
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A friendly reminder will be emailed to you when your monthly payment is due.
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Billing Address: |
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Postal Code |
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Secure Payment |
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Yes, I agree to be billed one time for the agreed upon services. |
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Yes, I want to register and I agree to all the terms listed above. |
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