~PYR~ Active Account setup page


Begin  to  create your "active" account or request additional information below:

This is the 1st of 2 sections required for "Active Account" setup.  Please note the following:  Both sections, and all 5 steps, must be completed and payment receipt confirmed by "Picture-Yourself-Remembered™" before an account will be considered an "Active Account".  Visit the Contact Us page or e-mail Stan Poe, COO directly with any ideas, questions or concerns.

 

Choose one (1) of the following options:

I want to establish an active ~PYR~ account now and will proceed.

Account: $495.00 / $4.95 mo. account maintenance.  Establish your active account and make payment within the next 10 days and pay only $195.00 US  $4.95 monthly maintenance still applies and is payable quarterly, semi-annually, annually or multi-year. Discount given for any option other than quarterly!

>CLICK HERE< if you need additional cost details and/or privacy information.

I need additional information first and will e-mail ~PYR~ soon.
Please telephone me to answer my questions.(9:00 a.m.-5:00 p.m. local time)
Please telephone me to answer my questions.(7:00 p.m.-9:00 p.m. local time)

No matter which of the previous four (4) choices you chose...

        Please provide the following contact information:                                

Step 1 of 5 steps

What is Your Note: Please complete entirely and precisely!  Use FULL given name... no nicknames, etc.

First Name  *
Middle Name *
Last Name *
Primary        e-mail address *
Secondary    e-mail address  if any... otherwise leave blank.
Home Phone  * Must  be completed, even if not to be used.
Cell Phone  if any... otherwise leave blank.
Work Phone  if no work telephone number, please leave blank.

How do you prefer further contact from ~PYR™~ in setting up your account?                                          

* Please choose from the "drop-down" menu here... 

By what date do you want an active ~PYR™~ account, including completion of a "Digital Remembrance Vehicle™"?    * -- Please enter mm/dd/yy format here

Have you created a "digital remembrance vehicle" yet? (i.e. web cam capture or video tape)

*

 

  ~PYR~ account setup page

 

Continue  to  create your "active" account below:    (section 2 of 2 sections)

This is the 2nd of 2 sections required for "Active Account" setup.  Please note the following:  Both sections, and all 5 steps, must be completed and payment receipt confirmed by "Picture-Yourself-Remembered™" before an account will be considered an "Active Account".  Visit the Contact Us page or e-mail Stan Poe, COO directly with any ideas, questions or concerns.

Choose one of the following options:

I want to establish an active ~PYR~ account now and will continue  here.

Active Account: $495.00 / $4.95 mo. account maintenance.  >CLICK HERE< for cost details and/or privacy information.  Establish your active account and make payment within the next 10 days and pay only $195.00 US  $4.95 monthly maintenance still applies and is payable quarterly, semi-annually, annually or multi-year. Discount given for any option other than quarterly!

 
I simply want to review the "how tos" of establishing an "active" ~PYR™~ account at this time and will do so by completing this page.

Please enter any "Certificate Of Issue #" or other promotional or discount code here:              

Begin...

Please provide the following contact person's information:   

Step 2 of 5 steps

            Their -       Note: Please complete entirely and precisely!  Use FULL given name... no nicknames, etc.

First Name *  
Middle Name
Last Name *
Primary        e-mail address
Secondary    e-mail address  if any... otherwise leave blank.
Home Phone  * Must  be completed, even if not to be used.
Cell Phone  if any... otherwise leave blank.
Work Phone  if no work telephone number, please leave blank.

How do you direct ~PYR™~ to contact this individual?  Please choose from the "drop-down" menu here...

* Choose one option only.


2nd (alternate) contact:

Their -     Note: Please complete entirely and precisely!  Use FULL given name... no nicknames, etc.

First Name *  
Middle Name
Last Name *
Primary        e-mail address
Secondary    e-mail address  if any... otherwise leave blank.
Home Phone  * Must  be completed, even if not to be used.
Cell Phone  if any... otherwise leave blank.
Work Phone  if no work telephone number, please leave blank.

How do you direct ~PYR™~ to contact this, your secondary, individual?

             Please choose from the "drop-down" menu here... *

                                         Choose up to 2 options with CTRL+click.


Should ~PYR™~ establish that indeed your pre-designed parameters have been met, in other words your account transfers from "active" to "procedural" status, to whom do you want your Digital Remembrance Vehicle™ delivered... and when?  Please complete below...

Step 3 of 5 steps

To Whom?

First Name  *
Middle Name
Last Name *
Recipient address

Please be as complete as possible to ensure best results!

Address line 1 *

Address line 2

City  *     

State *   Country  Zip/Post Code *

Primary        e-mail address  
Secondary    e-mail address  if any... otherwise leave blank.
Home Phone  * Must  be completed, even if not to be used.
Cell Phone  if any... otherwise leave blank.
Work Phone  if no work telephone number, please leave blank.

When? *

    Immediately and as soon as possible within ~PYR™~ current capabilities.

    3 months after my account becomes officially "procedural".

    6 months after my account becomes officially "procedural".

    1 year after my account becomes officially "procedural".

    Other...  [up to] 99 years after my account becomes officially "procedural". Please be specific here as you add your text >   


 

Choose any one (1) format from the drop-down list below.  Any one choice is included in your active account!

A second, and additional delivery formats, available at an additional cost* of just $25.00US.

*Excludes e-mail attachments of any digitized formats 

 

 

*


Lastly...

Step 4 of 5 steps

How often do you want ~PYR™~ to contact you in order to verify your account status on a continuous basis?  Please choose from the "drop-down" menu here...

*

Should you not respond, verifying your account status as active, what do you want ~PYR™~ staff to do at that point?  Please choose from the "drop-down" menu here...

*

And should you not respond to the first follow-up directive you've just outlined, verifying your account status as active, what do you want ~PYR™~ staff to do at that point?  Please choose from the "drop-down" menu here...

*

At this point you may now choose your username and password.


Desired Username : *
Desired Password :
* (please choose a safe and secure password that you will remember.)

 

We are glad you have chosen ~PYR™~ as your

"Digital Remembrance Vehicle™ service provider"!

Once you click on 'Submit Form' below, your application will be reviewed (within 72 hours) and we will contact you (as previously designated by you) with final "Active Account" setup instructions~


One more step! Please complete the following :

<
Type the two words :

Step 5 of 5 steps *

This will send your information to ~PYR™~     

 

This will clear and reset the entire application process without sending your information to ~PYR™~.

    * = a required data entry field.

1 Non-response may include, but is not limited to, the following: client death, mental incapacitation, hospitalized or non-hospitalized coma, memory loss, dementia, Alzheimer's disease, inability of ~PYR~ and Biehler-Poe Enterprises to complete client contact for any other reason, [add more here]. >CLICK HERE< for privacy details.

 

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Data collection for an active account form created by Stan Poe / Picture-Yourself-Remembered™.
Copyright ©2002-2009 Biehler-Poe Enterprises, LLC.  All rights reserved.
Revised: 10/17/09