Customer / Dealer Order

Your Contact Information

Contact Name

Contact Name is required.

Contact Email

Valid email is required.

Contact Phone

Contact Position

Customer / Dealership Info

Dealer Name

Dealer Name is required.

Dealer Phone

Dealer Website

Dealer Website is required.

Feed Provider

Please select a feed provider or specify one.

Business Address

Business Address is required.

City

City is required.

State

State is required.

ZIP

ZIP is required.

Secure Payment & Billing

Payment & Billing Information

Billing contact is the same as contact info above

Billing Name

Billing Email

Billing Phone

Billing Address

City

State

ZIP

Payment Type

Credit Card

ACH

Card Number

Expiration

CVV

Agreement & Terms

This is an Order for Rythmic Services and is subject to and governed by the Terms and Conditions for the Rythmic Master Services Agreement (the “Terms”).

By checking the box and submitting this Order, you agree that this Order is a part of the Rythmic Master Services Agreement, you acknowledge that you have read, understand, and agree to be bound by the Terms, and you represent that you have the authority to bind the Customer to this Order and the Terms.

Upon you checking the box below and submitting this Order, you agree that it will become a legally binding contract between Rythmic and the Customer named above, unless Rythmic rejects it for any reason.

I agree to the Terms and Conditions and confirm that this agreement is legally binding.

You must agree before continuing.

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