Service Agreement with Belinda - Belinda Lindhardt - Artist, Designer, Illustrator & Creative Mentor

Use this form to book in for a Service Agreement with Belinda to get your tasks done on a regular occurrence with a discounted rate.

For more information on all Service Agreements please see this page >.
For a maintenance agreement please fill in the Maintenance Agreement Form here>
For Terms on our Service Agreement please see here>

Monthly Service Agreement Booking Form

Fill in this form if you wish to undertake a Maintenance Service Agreement for your website, this Agreement is for 3 month period. Filling out this form books you in our schedule. You will be notified each month when the work has been carried out. Any queries please just ask Belinda.

Your Contact Details
Name
First Last
Email
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone
Your website this agreement is for:
Social Media Pages and Profiles
Please provide links to all of your social media handles and profiles.
Other Information
Please provide any other information which maybe needed, I will also contact you to provide login details and a time to make a discovery call with you if i dont have these details on file.
Agreement Details
To be arrange automatic billing (through credit card) please select your preference and you will be taken to the payment screen and billed immediately for your first month. If you wish to arrange payments through your bank please select this option in the drop down. *note you must set this up yourself but by filling in this form it confirms you in our schedule.
Choose your payment option:*
* If setting this up with your bank, please organise this with your bank but please continue filling in this form to secure your spot in our schedule we will contact you after submitting this form.
Monthly Service Agreement*
These agreements are all for a minimum 3 month contract. All prices are inclusive of GST. * Note these are discounted prices spread over a monthly fee
Pay by Credit Card / Stripe

American Express
Discover
MasterCard
Visa
Supported Credit Cards: American Express, Discover, MasterCard, Visa
Card Number Expiration Date Security Code Cardholder Name
Total
$ 0.00
Terms of Service*
Please read our Terms of Service for Service Agreements. You must Agree if you wish to proceed.
- Yes, I agree

Use this form to book in for a Service Agreement with Belinda to get your tasks done on a regular occurrence with a discounted rate.

Monthly Service Agreement Booking Form

Your Contact Details

Agreement Details

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