Account Update

Please take a moment and fill out the form below to update your account contact information. This form also allows clients to update the payment records on file.
Please Note: We accept Visa & MasterCard Only.

* indicates a required field

Please select one of the following(*)

New Account Signup Existing Account Update

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Customer Information:

*Company Name(*)

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Phone Number(*)

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Email(*)

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*Domain Name(*)

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*Contact Name(*)

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Address(*)

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SELECT YOUR SERVICES(*)

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Please provide us with your credit card information.

Name On The Card

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Billing Street Address

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Billing Zip Code

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Credit Card Number

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CVC Security Code

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Expiration Date

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Proposal Code

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The company authorizes ongoing charges to be made to this card without a signature.

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Initials for Acceptance:

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Additional Information:

Comments or additional Information

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By submitting this form to Midfield Technologies, you are confirming that you are the authorized representative for your firm, and you are agreeing to the terms and conditions. You hereby authorize Midfield Technologies to charge your credit card for all payment as scheduled in the proposal.