Save This Page
Bypass Activation
To:
(email@domain.com)
From:
Send via e-mail
Smartphone
Carrier...
Verizon
ATT/Cingular
Sprint
T-Mobile
Nextel
Alltel
Cricket
CellularOne
MetroPC
US Cellular
CellularSouth
Rogers - Canada
Telus - Canada
Bell - Canada
Request NetReceipt™
CC: Bent Tree Community
Our Location (
Get Directions
)
Visit Us At
Our Website
Call: 770 893 2629
B&A
Bent Tree Community
Website Embedding Authorization Form
I hereby authorize CGI Communications, Inc. to receive login information for my website. I grant them permission to access my website contents for the sole purpose of adding the video produced by them. CGI Communications, Inc. is not authorized to monitor or modify my website in any other way. Login information will remain secure for the duration that it is needed, and CGI will not retain by any means the login information after the change has been made.
CGI Communications, Inc. will not share, distribute or release this information to any third party.
Website:
Business:
Your Email:
Webmaster / Webdesign Company:
Webmaster Email Address:
Digital Signature
(Please check the box and type your name below)
