PRIZZISITES® Website Design and Internet Marketing Quote Website Design and Internet Marketing Quote Prosites, Inc

PRIZZISITES® Website Design and Internet Marketing Quote Website Design and Internet Marketing Quote ProSites, Inc. Date: 10/22/2015 27919 Jefferson Ave., Suite 103 Quote #: PS29151_2 Temecula, CA 92590 Site ID: 236907 Phone: (888) 932-3644 Consultant: Clayton Edd Quote Expires: 10/23/2015

Mail To: Dr. Jessica Fuentes 1791 Marlow Road Santa Rosa, CA 95401

Amount Due (from page 1): SKU Description Qty Unit Price Amount Step Choose Payment Option 3010 The Kick Off Bundle Package 1 $3,195.00 1 Discount: PBHS Price Match - Fall Into Savings - $1,970.00 $1,225.00 Pre-Designed Website Package INCLUDED Animation on Welcome Page INCLUDED ACH Debit (Best method to ensure uninterrupted service!) Professionally Written Patient Education Content INCLUDED Bank Routing # (9 digits): Account #: Website Editor with WebEngine Technology INCLUDED FREE Dental Videos (with Patient Referral Technology) INCLUDED Photo Gallery with Automated Photo Uploading INCLUDED Account Holder’s Name: Unlimited Web Pages INCLUDED Ten Custom Email Accounts INCLUDED Account Holder’s Signature: Date: Quick Start Search Engine Optimization (SEO) INCLUDED Integrated Sitemaps Protocol (Adopted by ALL Major Search Engines!) INCLUDED Style Library Access (Pick New Website Designs Anytime – FREE!) INCLUDED Credit Card (Visa, MasterCard, American Express & Discover) One-Time Logo Integration INCLUDED Credit Card Number: Expiration (Month/Year): / FREE Domain Name Registration INCLUDED FREE Search Engine Submissions (Google, Yahoo, Bing, AOL, DMOZ, etc.) INCLUDED FREE Personalized Website Editor Training INCLUDED Name (as shown on card): FutureNow(TM) Assurance INCLUDED Pre-Designed Mobile Website INCLUDED Billing Address:

4050 Monthly Maintenance Fee (Software, Service, Support & Email) 1 $65.00 $0.00 City: ,State/Province: Zip/Postal: Start Date: 12/01/2015 Superior Business Class Software Platform INCLUDED Signature of Card Holder: Date: FREE Primary Domain Name Renewals INCLUDED FREE Technical Support INCLUDED FREE Upgrades! INCLUDED 24/7 Website Editor Access INCLUDED Step Accept Payment Terms 2

I authorize ProSites, Inc. to initiate credit card charges and/or ACH debit withdrawals to my above referenced accounts, and authorize my bank or financial institution to honor such transactions. This authorization is to remain in full force and effect until ProSites receives written notification of its termination; notification shall be no less than five days before the next scheduled transaction. I understand and agree that transactions shall comply with U.S. Laws and that all services are provided pursuant to the ProSites Terms of Use available online at www.prosites.com/terms.

Authorized Signature: Date:

We appreciate your business! Statement Total: $1,225.00 Current Balance: $1,225.00 Step Fax this signed document to ProSites at (866)297-0031 (This is a secure fax line.) Amount Due: $1,225.00 3

Page 1 of 2 Page 2 of 2 Website Design and Internet Marketing Quote Website Design and Internet Marketing Quote ProSites, Inc. Date: 10/22/2015 27919 Jefferson Ave., Suite 103 Quote #: PS29151_2 Temecula, CA 92590 Site ID: 236907 Phone: (888) 932-3644 Consultant: Clayton Edd Quote Expires: 10/23/2015

Quote Prepared For: Dr. Jessica Fuentes 1791 Marlow Road Santa Rosa, CA 95401

Amount Due (from page 1): $1,225.00

Step Choose Payment Option 1

ACH Debit (Best method to ensure uninterrupted service!)

Bank Routing # (9 digits): Account #:

Account Holder’s Name:

Account Holder’s Signature: Date:

Credit Card (Visa, MasterCard, American Express & Discover)

Credit Card Number: Expiration (Month/Year): /

Name (as shown on card):

Billing Address:

City: ,State/Province: Zip/Postal:

Signature of Card Holder: Date:

Step Accept Payment Terms 2

I authorize ProSites, Inc. to initiate credit card charges and/or ACH debit withdrawals to my above referenced accounts, and authorize my bank or financial institution to honor such transactions. This authorization is to remain in full force and effect until ProSites receives written notification of its termination; notification shall be no less than five days before the next scheduled transaction. I understand and agree that transactions shall comply with U.S. Laws and that all services are provided pursuant to the ProSites Terms of Use available online at www.prosites.com/terms.

Authorized Signature: Date:

Step Fax this signed document to ProSites at (866) 297-0031 (This is a secure fax line.) 3

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