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BIGLIST New Client Form

1. Contact Information:
a. Company or Organization:
Company Name:
Company Website:
Phone number:
Fax number:
b. Web Administrator/Main Contact: Please designate the person primarily responsible for running your BIGLIST account. The Web Administrator will be given full access to all administrative web functions, including configuration settings for all lists.
Web Admin name:
Web Admin email address:
Web Admin phone number:
c. Alternative Contact: In case the primary contact is not available, please designate an alternate contact who has authority to make decisions regarding your BIGLIST account.
Alternate contact name:
Alternate contact email address:
Alternate contact phone number:
d. (Optional) Web Moderator: The Web Moderator has access to all lists in your BIGLIST account, but may not change configuration settings.
Web Moderator name:
Web Moderator email address:
Web Moderator phone number:

2. Billing Information:
Billing cycle: quarterly
semi-annually
annually - WAIVE set up fee
ATTN:
Billing email address:
Billing phone number:
Billing Address:

3. Mailing Information:
ATTN:
Mailing Address:

How many subscribers will you be mailing?
How often do you plan to mail?
What is the objective of your newsletter?

4. Service Type: Choose One
Visit this page for more information on choosing a list domain.
a. Standard Service: uses our domain name, e.g., news@your-co.biglist.com, updates@your-co.biglisthosting.com
For standard service only, designate the company or organization name you would like to use:
Your company name:
Note: Must be one word, may include letters, numbers, and dashes, NO underscores.
b. Virtual Service: uses your domain name, e.g., news@lists.your-domain.com, updates@lists.your-domain.org
For virtual service only, designate which domain name you would like to use:
Your domain name:

  BIGLIST Inc.
  info@biglist.com · 212-686-2140
  1640 Maple Ave #801
  Evanston, IL 60201

Problem reports welcome at webmaster@biglist.com
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