MEMBER SERVICES REQUEST FORM

At ***Domain Name***, we take pride in our friendly, knowledgeable, prompt Member Services department. For immediate answers check out the Frequently Asked Questions area or take our FREE Online Training. To receive assistance with your Member Services issue, please complete all fields in the form below. We will reply back via email unless you have requested otherwise.

* Required fields.

*Type of issue (your main reason for contacting us):

Please select the option that best fits your need.

	LEADS (lead purchases, lead counts or undeliverable emails to your leads)
	EMAILS (sending of Prospecting Emails or your Custom Email series)
	PROSPECT MANAGER (viewing or adding Prospects, Preferences)
	BILLING (issues with your credit card, account status or monthly billing)
	WEBSITE MANAGER (customizing your About Me, How I Earn Money or Home Page)
	OTHER

*First Name

*Last Name

*Member ID#

*Email Address

*Please use this space to provide a detailed description of your question or issue:

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							<td align="left" valign="top" class="pagetext">Indicate your phone number, including area code, if you would like us to contact you back by phone instead of email:</td>
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							<td align="left" valign="top" class="pagetext" colspan="2">Phone Number<br><input type="Text" size="3" name="areacode"> <input type="Text" size="22" name="phone"></td>
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							<td align="left" valign="top" class="pagetext">Your Time Zone:<br><input type="Text" size="30" name="timezone"></td>
							<td align="left" valign="top" class="pagetext">Best time to reach you:<br><input type="Text" size="30" name="besttime_contact"></td>
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					<td align="left" valign="top" class="pagetext">After verifying all the information you entered above, select SUBMIT to send your email or RESET to clear the form and begin again.<br><br></td>
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					<td align="left" valign="top" class="pagetext" width="100" ><input type="Submit" value=" SUBMIT "></td>
					<td align="left" valign="top" class="pagetext"><input type="reset" value="RESET"></td>
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					<b>(208) 939-8300<br>Member Services</a></b></td>
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				    <td align="left" valign="top" class="pagetitle2"><br>Hours</td>
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				    <td alilgn="left" valign="top" class="pagetext">Our entire Member Services staff is available by phone or email
<p>
Monday through Friday from 9:00 a.m. � 9:00 p.m.<br>
On Saturdays, a Representative is available from 9:00 a.m. � 5:00 p.m.
<p>
Emails are generally answered within 12 business hours.  Sunday and holiday inquires are answered on Mondays or the next business day, respectively.</td>
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						<td align="left" valign="top" class="pagetext"><br><br><a href="http://geocities.com/members/member_cancellationform.cfm">Cancellation</a></td>
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