BICS Parcel Application (aka IMASD Membership)


IMASD memberships are the creation of the companies that sell them.  This form is for informational purposes only, and the IMASD and the IMC and Surplus.Net have no financial interest in such transactions.

Fill out and submit this form to apply to the Internet Marketing Association of Surplus Dealers.  If you are interested in purchasing a BICS parcel, but not for IMASD Membership, simply write"NOT IMASD" in the Question or Comments field.  You'll then be contacted and directed to the appropriate party. 


   Current Email:        

   Company:         

   First Name:        Last Name: 

   Street:          

   City:            

   State/Province:    Zip/Postal: 

   Country:         

   Voice Phone:        Ext: 

   Fax Phone:       


   Will you be working with a Technical Assistant?

   (You may leave blank if you are not working through an assistant.)

   Assistant's Name:     
   Assistant's E-mail:   
   Assistant's Voice Phone:    Ext: 



    Check this box if you want us to provide a Technical Assistant for you.



*****************OPTIONAL*******************************

   If you have already registered your own domain name and you plan to transfer it to the
   the IMASD server, what is that domain name?

     

   


   Do you want us to locate and set you up with the best domain name for your business?
   (HIGHLY RECOMMENDED: Good domains are one of the best ways to increase traffic.
   In this case we'll find an owner willing to let you use his excellent domain for a
   3 month period in the hope that you will decide to purchase it from him.  There is no
   obligation and you will be contacted with more information prior to any commitment.)
     
    Yes. Locate me the best domain name you can find.


**********************************************************

   Description of your products and services:
   (Please describe your company in one or two sentences.)

   This is for Search Engines and the Surplus Dealers Directory.

   



   Primary Products (keywords):
   Example: tools Levis transistors computers videos stuff. These key
   words are for Search Engines. Put them in the order of importance.

   


   Questions or other comments:
   For example, tell us where you heard about IMASD or who referred you.

   

 
  PAYMENT OPTIONS:
   Note that this application is only a referral.  IMASD does not sell memberships,
   BICS parcels, or any other avenue of becoming a member of the network, nor does
   IMASD participate financially in any of these business activities.  All purchases,
   fees, or other costs are negotiated directly between you and the seller and/or
   the provider of the service you receive.  The choices and prices listed below
   are offered by individual companies willing to sell and/or provide entry into
   the IMASD network.  Memberships (which in the cases below are more accurately
   named "BICS parcels") are currently offered for $3,000.  All fees are in US
   Dollars.

   Right now, there are 5 different ways to get started.  Choose the one that
   is right for you.

     CHOICE NUMBER 1)  You already own the Membership and want to activate it.
     You have already purchased a Membership from a Member on your own.   Fill out
     this application and tell us the Member's name and BICs Parcel# you purchased
     in the "Questions or other comments" field.   You will only be billed for
     activation and monthly dues (see "other fees" below).  Note:  You will be
     asked to provide a bill of sale proving your purchase of your BICS Parcel
     (membership). You will only be billed for activation and monthly dues
     (see "other fees" below).

     CHOICE NUMBER 2)  IMASD Admin. will refer you to a member to purchase from.
     Pay in full and become a Member immediately.  Your information will be forwarded
     to a member willing to sell for $3,000.

     CHOICE NUMBER 3)  Lease to Own Option 
     (Terms may vary depending on who you lease from).
     A monthly pay Lease to Own Option is offered through one of the Members.  
     You will be charged $200 per month for 15 months (plus dues).  Full Membership
     is granted only at the end of your successful completion of this 15 month
     payment plan, however, you have the right to cancel at any time with no
     questions asked.

     CHOICE NUMBER 4) Three Month Trial and Option to Purchase.
     We will refer you to an IMASD Member that has a Membership that he/she will
     offer on a three month trial basis.  For $100 this member will let you try
     IMASD using this Membership. (Please note: A $100 one time set up fee and
     $25.00 mo. dues for each month on the trial will also apply).  If you like it, then
     you can buy it at the agreed price (This adds up to $275.00 for the entire 3 mos.)
     We will forward your application to the member and he/she will take care of the rest.

     CHOICE NUMBER 5)  Monthly Rental:  We currently have several Members willing to rent
     providing you allow a link to the owner's web site.
     The monthly rental is $75. (includes dues)

     Other Fees:
     Monthly dues (while connected to the network) are $25 auto-deducted monthly.
     Activation fee is a one time setup charge of $100.

        

     (CHOOSE ONE)

       I choose No 1: I have my own deal already, so bill me only for dues and setup.
       ($25 monthly dues plus $100 activation)

       I choose No 2: FULL MEMBERSHIP for a one time payment of $3,000.
       (and $25 monthly dues plus $100 activation)

       I choose No 3: LEASE OPTION. Fifteen (15) monthly payments of $200 each.
       (and $25 monthly dues plus $100 activation)

       I choose No 4: Three Month Trial and Purchase Option.  $100.00
       (and $25 monthly dues plus $100 activation)

       I choose No 5: Monthly Rental
       ($75 per month plus $100 activation and you will be allowing a link to the
       owner's web site on your IMASD homepage.)

  PAYMENT INFORMATION:
  
  This form will allow you to submit payment information.  However, if you are 
  uncomfortable with this form of payment, type "I'll pay by fax" in any of the 
  fields below and leave the rest of the fields blank.

  PLEASE NOTE:  Your credit Card will NOT be deducted online, but will route off the
  server.  If you are accepted, you will receive appropriate paperwork (per your choice above) 
  via fax or email first, and only when that is returned with your signature will
  you be deducted, after which your setup with the various IMASD Service Providers will begin.


Credit card information:  (VISA MasterCard AMEX)

Name on Card: 
Card Number:    Exp. Date: 

or

Electronic Funds Transfer: (US Banks ONLY. Read these numbers from your checkbook.)
 Signatory Name:         

 Bank Name and Location: 

      Route Number:    |:|:

      Account Number:    



   When the information you have entered above is correct,
   press the SUBMIT button below.

Terms of Use:  The information you submit is forwarded to IMASD Service Providers (identified by
stating "We Honor BICS").  One or more of these Service Providers will contact you.  These
Service Providers retain the right to reject or restrict any applicant for any reason.  There is no
quid-pro-quo between BICS Service Providers and BICS parcel owners.  BICS parcels are not equity,
nor are BICS parcel owners guaranteed anything.  Services are provided on a voluntary basis.  IMASD
has traditionally honored BICS, but there is no guarantee that you will be included in, and provided
with any services.

 

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