Our secureonline payment system for your flag subscription is via PayPal, using your PayPal account or using your Visa, MasterCard, or American Expresscard without the need for a PayPal account. PleaseNOTE: To subscribe and pay securely onlineis a 2-step process: STEP ONEis to complete and submit the subscription application below.
STEPTWO is topay for your submitted subscription on the PayPal PAYMENT page to whichyou will automatically proceed when you click "Submit" for your subscriptionapplication. You are not subscribed to theflag-placement service until BOTH steps are completed. You may subscribe and pay for multiple flags for a single address in oneapplication/payment process, but you must complete and submit a separateapplication and payment for each residential or business flag-placementaddress.
|Business Name (ifflag placement is for a business)|
|Contact Business Phone|
(*Required: If no separatebusiness #, type 'none' or enter home #)
|Contact Home Phone|
|Contact Cellular Phone|
|Contact Email Address|
|Total # Flags to be Placed at this location||at$50 per flag per year|
|Total length of subscriptionperiod|
|Flag placement surface atthis location is as shown:|
|Pleaseverify that your answers above are correct. Once you are satisfied, CLICKHERE to PRINT this page for your records. Then click the SUBMIT buttonbelow to complete Step One and automatically move to Step Two for the PaymentPage. You will be required to again enterthe number of flags and the subscription period for the above placementaddress on the Payment Page. Our paymentsystem is via PayPal. A PayPal account is easy to establish, but you canmake payment by credit card without the need for a PayPal account. Clicking"Submit Application" below will take you to the STEP TWO Payment Page whereyou will complete your subscription.|
Please email any questions regarding "Flags Over Bellaire" to
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