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 Rent a Cart - Secure Signup Form
   

Rental Information (* indicates required field)
   
Rental Plan *
 
First Name *
Last Name *
Company Name
Address *
Apt., Suite, etc.
City *
State *
Country USA
Zip/Postal Code *
Contact Name *
Email Address *
Phone
 
Credit Card Type *
Card Number *
Expiration (mm/yyyy) *  / 
 
Please check the box at the left to certify that you have read and agree to the Signature Cart Terms and Conditions as specified on the "Legal Stuff" page. By checking the box, you also agree that your credit card will be charged for a 3 month rental period plus a one-time $39.95 Setup Charge. Upon signup, this works out to be $129.80 for Bronze, $144.80 for Silver, or $159.80 for the Gold Rental plan. Unless you choose to cancel your rental, every 3 months thereafter you will be charged $89.95 for Bronze, $104.85 for Silver or $119.85 for the Gold Rental Plan.
 
 
   
     
     
 

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