Fidelity Systems, Inc.





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Main Office:
731 North Collins St
Arlington TX 76011

Phone: 817-274-5699
Fax: 817-274-3111

Residential Location:
124-B East Main Street
Grand Prairie TX 75050
Phone: 972-642-9400

Email:
support@fidelitysystemsinc.com


RESIDENTIAL
MEMBERSHIP REGISTRATION

Includes all services described on the previous page:

TERM: 12 months membership renewable annually

MEMBERSHIP FEE: $199 per year

BENEFIT: 12 Computer Supports by Phone ($19 per support after 12)
24 hrs/day - 7 days a week

DEDUCTIBLE: $75 per occurrence on housecalls.

You are responsible for the cost of parts if required.

Membership Application

(all fields below are required except "Comments")
Name:

Street Address (computer location):

City & State:

Email:

Telephone Number:

Computer Type:

Operating System:

Number of Computers:

Comments:

MasterCard - Visa - Discover - American Express - Check

PRICES ARE SUBJECT TO CHANGE WITHOUT NOTICE


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