Early Bird Special

Prior to the launch of eIPayment we are offering an early bird special exclusively for early adopters of the eIPayment system. To take advantage of our half price special, you must register using this form.

Benefits

With the eIPayment early bird special, your subscription will be half price for the first 2 years - $45 plus tax instead of the usual $90 plus tax. No payment is required until 1 month prior to launch when we will email you an invoice to be paid. Estimated launch date of the site is September 2010.

To sign up to the early bird special, fill in the following details:

Note: Your first name, last name and email address are required for both the early bird special registration, or to refer a friend

First Name:	*
Last Name:	*
Company/Organisation:	* (if registering for early bird)
Location:
Country:	* (if registering for early bird)
Email:	*
Telephone:
Please add me to the early bird special list:	By ticking the box shown here, I am indicating that I would like to be placed on the early bird special mailing list and receive an email with my exclusive early bird invoice 1 month prior to eIPayment's release. Selecting this box indicates that I am ordering this subscription but am not required to pay until I am invoiced.
	* denotes a required field
Do you know someone else who might benefit from this offer?:	Yes, please send an email to the following person. I acknowlege that my details will be shown in the email as the requester of this communication.
Please enter the details of the person you are referring here (you should also enter your first name, last name and email address in the fields above).
First Name:	* (if sending referral)
Last Name:	* (if sending referral)
Email:	* (if sending referral)
	* denotes a required field (don't sign me up for the early bird special)