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Please print out and complete the contact information form below
then fax to NETRICS.COM, Inc. (619.551.4890) to order SurfReport 2.1 now!
First Name | Organization | * | |
Last Name | * | ||
Day Time Phone | Address | * | |
City | State | ||
Zip/Postal Code | |||
Country | |||
Where Did You Learn About SurfReport? | |||
If Other (Directory, etc.), Which One? | |||
Any Comments? |
WEB Domain(s) You Will Be Analyzing | |||
What Platform Do You Use? | |||
What HTTP Server Do You Use? | |||
Payment Options: * | Purchase Order (Subject to credit approval) | ||
Wire Transfer (Once paid, activation key will be forwarded**) | |||
Invoice via E-Mail (Once paid, activation key will be forwarded**) | |||
Credit Card CC# --- Exp. Date | |||
VISA Master Card or AMERICAN EXPRESS | |||
** If evaluating, choose invoice. If not delighted, return invoice email with "Cancel" in Subject line. |
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Any Comments? |
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