Secure Payment Form

Hosting Plan

"Please select your monthly ecommerce platform hosting plan."

Free

Bronze - $10/Month

Silver - $30/Month

Gold - $50/Month (Qualifies for Founder's Club Bonus Pool) (Qualifies for Matching 100% Bonus and Founder's Club Bonus Pool)

Billing Information

IMPORTANT: Please be sure to use the current Billing Address where you receive your credit card statement for the credit card you are using for this purchase. The order will not be approved if the Billing Address is not accurate or does not match.

Billing address*

City*

State*

Postal Code*

Country*

Phone*

Payment Information

Card Holder's First Name*

Card Holder's Last Name*

Card Number*

Card Expiration

CVV/CVV2*

I authorized and understand that the hosting services payment today will appear on my creditcard or bank statement as "Max Services".
I agree to the Cancellation & Refund Policy

Hi ,
This is the receipt for a payment of (USD) for your Hosting plan that is Powered By: Max Services

Payment No.

Payment Date

Client

Payment To Maxous - Max Services

Description

Quantity

Amount

Total

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