========================================= ImageEvent Premium Upgrade / Renewal Form ========================================= Please fill out the following form when sending by mail. Please provide all the information. Please print this out and send the form and your check/money order in the full amount to: ImageEvent Billing Department 737 Durshire Way Sunnyvale, CA 94087 First name: _________________________________________ Last name: _________________________________________ Username: Enter the username for the account you wish to upgrade or renew. (NOTE: If you wish to purchase upgrades for more than one account, please submit a separate form for each account. Just send in one check with the total amount.) _________________________________________ Email: We will send you a confirmation when we upgrade / renew your account. _________________________________________ Select package you wish. ______ 1 year Premium Package - $24.95 (US$) ______ 1 year Power Premium Package - $64.95 (US$) If you wish to purchase extra photo storage, please enter the number of packages. ______ Additional Storage - $24.95 (US$) (1500 Additional Images) Today's date: _________________________________________ Amount enclosed: _________________________________________