Registration Form

Please read Term and Conditions before registering.

Business Name
*Contact First Name
*Contact Last Name
*Contact Phone
*Contact Email
Postal Address
Prepay	6 Months (5% Discount)12 Months (10% Discount)No Prepay
I also require the following services: These additional services will be charged to your credit card if selected. Prices include GST.
Additional List and/or Template Setup $149 (Additional list and standard email template customised with your logo and colours are uploaded into your Ezy-AutoResponder account)
Custom Email Footer $99 (Receive a customised HTML and text version of your footer using your logo and upload to your Ezy-AutoResponder account)
Custom Template Design $499 (Using your specifications we work with you through the design process to design, code and upload your email template into your Ezy-AutoResponder account)
The First Five $149 (After determining your campaign aims and objectives we provide 5 draft emails to get your campaign underway)
Website Integration from $295 (HTML code is provided for you to enter into your website. However if you prefer, we can complete this setup for you, including all custom fields. Note: This service may not be available with some websites)
* I have read and agree to the terms and conditions. I am aware that this is a one-step ordering process and clicking on the submit button will process my order.
* Required