Premium Business Agreement

“ORDER FORM” Upon receipt of payment by the Client as set forth below in this order form (the “Order Form”), AdultVest hereby agrees to furnish the Client and the Client hereby agrees to license and utilize the online service from AdultVest (the "Service") only in accordance with the terms and conditions posted thereon and herby incorporated herewith (the “Terms and Conditions”) and Client herby acknowledges that Client has read, understands, and agrees to the Terms and Conditions. Client agrees to pay AdultVest for the Service options according to the schedule set forth below (please mark off your selection): ___ Month to Month Basic Membership - $99/month billed each month – 15 days written notice to cancel – cancel anytime. ___ Month to Month Premium Membership - $199/month billed each month – 15 days written notice to cancel – cancel anytime. ___ Six Months Basic Membership - $399 onetime payment due on signing – Save $200!! ___ Six Months Premium Membership - $799 onetime payment due on signing – Save $400!! IN WITNESS WHEREOF, the undersigned have caused this Agreement to be executed and delivered as of the date set forth on the signature line below. “CLIENT” Signature: _______________________________________ Date: ________________________ Print Name:______________________________________ Title:_________________________ Company Name:___________________________________________________________________________ Affiliated Companies:_______________________________________________________________________ Address:__________________________________________________________________________________ __________________________________________________________________________________________ ________________________________________________________________________________________ Mobile__________________________ Office_________________________ Home______________________ Fax________________________ Email 1___________________________ Email 2______________________ Websites and DBA’s (attach sheet if needed)_____________________________________________________ __________________________________________________________________________________________ ________________________________________________________________________________________ FAX COMPLETED FORM TO: 1-323-330-6481

AdultVest, Inc. 8306 Wilshire Blvd. #300, Beverly Hills, CA 90211 (323) 330-6480 [email protected]

CREDIT CARD AUTHORIZATION

Print Name as it appears on Card

_____________________________________________

Visa or MasterCard Number

_____________________________________________

Expiration Date:

_____________________________________________

Security Code

_____________________________________________

Billing Address:

_____________________________________________ _____________________________________________

Business Phone#:

_____________________________________________

Business Fax#:

_____________________________________________

E-Mail Address:

_____________________________________________

Company Name

_____________________________________________

I hereby authorize AdultVest, Inc. or an affiliate, successor, or assign thereof to charge my credit card for individual and recurring charges pursuant to the terms and conditions set forth on the Order Form. My authorization will remain in full effect for the duration of the term of the Agreement and any extension thereof.

Agreed and accepted,

Print: ________________________________________

Sign: ________________________________________

Date: __________________

FAX COMPLETED FORM TO: 1-323-330-6481

AdultVest, Inc. 8306 Wilshire Blvd. #300, Beverly Hills, CA 90211 (323) 330-6480 [email protected]

BANK DRAFT AUTHORIZATION

Print Name on Account

_____________________________________________

Bank Routing Number

_____________________________________________

Account Number

_____________________________________________

Check Number

_____________________________________________

Bank Name

_____________________________________________

Bank Address

_____________________________________________

Phone#:

_____________________________________________

Fax#:

_____________________________________________

E-Mail Address:

_____________________________________________

Company Name

_____________________________________________

I hereby authorize AdultVest, Inc. or an affiliate, successor, or assign thereof to charge my credit card for individual and recurring charges pursuant to the terms and conditions set forth on the Order Form. My authorization will remain in full effect for the duration of the term of the Agreement and any extension thereof.

Agreed and accepted,

Print: ________________________________________ (“Client”)

Sign: ________________________________________

Date: __________________

FAX COMPLETED FORM TO: 1-323-330-6481

AdultVest, Inc. 8306 Wilshire Blvd. #300, Beverly Hills, CA 90211 (323) 330-6480 [email protected]

EMAIL US PHOTOS OR SCAN OR COPY YOUR DRIVERS LICENSE AND THE FRONT / BACK SIDE OF YOUR CREDIT CARD

Front of Credit Card

Back of Credit Card

Drivers License

FAX COMPLETED FORM TO: 1-323-330-6481 AdultVest, Inc. 8306 Wilshire Blvd. #300, Beverly Hills, CA 90211 (323) 330-6480 [email protected]

EMAIL US PHOTOS OR SCAN OR COPY YOUR DRIVERS LICENSE AND THE FRONT SIDE OF A CHECK

Front of Check

Drivers License

FAX COMPLETED FORM TO: 1-323-330-6481 AdultVest, Inc. 8306 Wilshire Blvd. #300, Beverly Hills, CA 90211 (323) 330-6480 [email protected]