| BIGLIST New Client Form |
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| 1. Contact Information: |
| a.
Company or Organization: |
| Company
Name: |
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| Company
Website: |
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| Phone
number: |
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| 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: |
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| Web Admin
phone number: |
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| 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: |
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| Alternate
contact email address: |
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| 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: |
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| Web
Moderator phone number: | |
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| 2. Billing Information: |
| Billing
cycle: |
quarterly semi-annually annually - WAIVE set up fee |
| ATTN: |
|
| Billing
email address: |
|
| Billing
phone number: |
|
| Billing
Address: |
|
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| 3. Mailing Information: |
| ATTN: |
|
| Mailing
Address: |
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|
| How many subscribers
will you be mailing? |
|
| How often do
you plan to mail? |
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| What is the
objective of your newsletter? |
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|
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: |
|