Important - Write Clearly Or Type In
will change your Online Listing & Billing Information to the NEW
company name you entered above.
|Account Transfer Fee|
To Pay By Check:
Mail The Completed Form With A U.S. Check Or Money Order In U.S. Funds For $225 Payable To:
ActiveSET.org 3335 NW 47th Terrace Gainesville, Florida 32606
Pay By Credit Card:
I authorize Emissions Schematics to bill my
credit card $225 for the Account Transfer Fee.
Full Name as it appears on the front of the card:
Mail The Completed Form With Payment & Your Business Card To:
ActiveSET.org / Attn: Priority
3335 NW 47th Terrace Gainesville, Fl 32606 USA
Account Transfers Are Processed Within 5-10 Business Days Upon Receipt