Double Check
It Lite Registration Form
1902 Fox
Sterling Drive, Raleigh NC, 27606-2725
Phone - (919) 854-2511, Fax - (919) 851-2298 |
- Shipping Information:
Name:__________________________________
Address:________________________________
City:____________________________________
State: ___________ Zip: _____ Country:________
Phone:________________ Fax:_______________
Email:___________________________________
How many copies do you need?____________ ($59.95 each, bulk discounts available)
Double Check it Lite is valid for one user on
many computers, or one computer with many users, not both!
Where did you hear about Double Check It Lite?_________________________ |
- Shipping Options (check only one):
- ___Email (free)
___US Postal Service Priority ($3)
___Airborne Express Overnight ($10-15, depending on location)
Outside the U.S., additional charges
may be necessary, confirmation of
___shipping charges will be gotten before we ship order.
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$_______Total Order Amount: (NC residents add 6%
tax) |
Payment Options (choose either
credit card or check/money order): |
- ____ Credit Card-Visa/MC:
Name as it appears on the card:____________________
Number:___________________________ Exp:___/___
Billing Address:________________________________
City:________________________________________
State: ___________ Zip: _____ Country:____________
Signature:______________________Date:___/___/___
- ____Check/ Money Order:
- Mail payment with this form.
Make checks payable to Datatrend Software.
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