FirstName: LastName: Email(username): By clicking the “Confirm and Submit Order” button at the bottom of this web page, you represent and warrant that you (“Customer”) are duly authorized to order the services described above and that: * The terms and conditions set forth or referenced in the Master Services Agreement between GlowPoint, Inc. (“GlowPoint”) and Customer (including, without limitation, the Service Level Agreement and the Acceptable Use Policy) shall apply to the Ordered Services. * Customer shall pay GlowPoint the fees applicable to the Ordered Services as set forth above. You may cancel your order for the Ordered Services at any time during the five-day period immediately following your placement of this order without penalty or obligation of any kind if, and only if, you are unable to use the Ordered Services despite using commercially reasonable efforts to do so and GlowPoint is able to confirm that the Ordered Services were not usable during such five-day period. If you request to cancel your order in accordance with the previous sentence, and GlowPoint approves the cancellation, GlowPoint will only refund fees charged for the applicable monthly subscription. Any additional fees for usage of services actually provided will not be refunded. GlowPoint collects credit card information solely for purposes of processing the applicable transaction. GlowPoint does not store such information and will not disclose or otherwise share it with third parties, except for a third-party credit card processor that is prohibited from using such information for any purpose other than for processing the applicable transaction. To access all legal conditions, please visit http://www.InstantVideoEverywhere.com/IVELegalPolicies.aspx Term of Service: I accept the Terms of Service Promotion Code:		Username:                  Password:                    Forgot your password?      Sign-up Now      Invite a Friend      Need Help
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