One membership consists of one primary access person. Online memberships are valid for one year from the date that the membership application is processed. The cost to join the Online membership is $399 for a single payment per year or $39.99 per month for 12 months payable by charge to your credit card. Please note that after the first year, 4D, Inc. will continue to charge your credit card the monthly fee (you will be notified in advance of any increase after the first year) unless you send 4D, Inc. written notice that you want the service terminated. You may not terminate the program during the first year.

* Indicates required field.

The Company that owns the rights to this Agreement is*:

Primary Contact Name*:

Primary e-mail*:

Web Address:

Title:

Address*:

City*:

State/Province*

Zipcode*

Contact Phone*:

Fax:

Method of payment

(Sorry, purchase orders are not accepted for the Partners Program)

I authorize 4D, Inc. to charge the above credit card in the amount of $39.99 for 12 months and then monthly thereafter at the then current rate until I notify 4D, Inc. of termination of this agreement.

Payment Options*(One is required):

Pay for one full year (1 year contract)

Pay monthly (1 year contract)

Payment Method*(One is required)

Credit Card (Required if you selected to pay monthly)

Card Type: Select One American Express Mastercard Visa

Card Number:

Expiration Date: / (e.g. 00/00, month/year)

Name on Card:

Check. I will mail payment to 4D, Inc.