"*" indicates required fields BILLING INFORMATIONBilling Name*Billing Email* Additional Billing Email AddressesYou may list up to three addresses that should receive copies of any invoices. Add RemoveBilling Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Office Phone*Cell/Text*VENTURE PLATFORM ACCOUNT DETAILSPrimary Domain Name(s)If you know there will be more than one site in your project, list all that have top level domain names.List additional domain names you currently own or would like to purchcase (pending availability)Note: any new registrations will add a fee of $20 per domain name in your invoice to the fees listed below. We will inform you if any names and/or extensions are unavailable.Domain NameExtension (.org, .com, etc.) Add RemoveAccount Start Date*Note: this is the date we will use to determine any initial prorated fees. Month Day Year Target Launch Date* Month Day Year ANNUAL FEES AND ONE TIME ONLY CHARGESWe will send a separate invoice based on the information below.ANNUAL FEES AND ONE TIME ONLY CHARGESWe will send a separate invoice based on the information below.Select Payment Plan for Annual License fees:*Note: monthly payment plans incur a four percent processing fee for each monthly invoice. If opting into the annual payment plan, all annual license fee items will be prorated from your starting date through the end of the current billing cycle (Aug 31). Monthly Annual Payment Method*For reference, the Direct Bank Payment is not an old-school wire transfer. It is a much easier direct payment method that does not carry any additional fee. Direct Bank Payment (adds 1% to invoice total) Visa/MC/AMEX (adds 4% to invoice total) Payment Method*For reference, the Direct Bank Payment is not an old-school wire transfer. It is a much easier direct payment method that does not carry any additional fee. Direct Bank Payment (adds 1% to invoice total) Company Check Visa/MC/AMEX (adds 4% to invoice total) Payment Terms Annual License fees: monthly or annual billing options: 1) Annual billing takes place on the first Monday of September for all subscribers and those opting for annual billing receive a special bonus in their first year as they are only responsible for paying a prorated amount of the first year’s fee through the following September annual billing date, at which point they pay the first full subscription fee. 2) Monthly billing occurs on the 1st of each month, or the closest subsequent business day if the 1st falls on a weekend or holiday, and is only payable by credit card or ACH transfer (company check payments are not available for this option). Monthly payments using credit cards incur a four percent payment processing fee for credit card payments and one percent fee for ACH. 3) One time only fees: 50% due at onset of agreement, 50% due at site launch. Standard Plan Annual Fee*Your prorated 2024/25 fee is 139 days = $1025.96 Price: Design & Development; one time only fee* Price: Image Optimization* Price: Content Migration* Price: Total MAIN SERVICE AGREEMENTBEFORE SUBMITTING ANY INFORMATION PLEASE READ, UNDERSTAND AND AGREE TO THE FOLLOWING TERMS AND CONDITIONS AS SET OUT BELOW IN THE MAIN SERVICE AGREEMENT.* I have read and agree to the terms and conditions set forth in the Main Service Agreement Authorized Representative on behalf of Subscriber* First Last Today's Date*MonthMonth123456789101112DayDay12345678910111213141516171819202122232425262728293031YearYear20262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Is there anything else you would like us to know when setting up your Venture account? Download the Main Service Agreement