Jasc Software US Order Form
Please Note:
  • This form is for US shipments of boxed products only.
  • We accept Visa, MasterCard and American Express.
  • All orders must be accompanied by check, money order, credit card number, or purchase order.
  • All purchase order requests must be accompanied by a valid purchase order via fax or mail.
  • Sales tax will be applied to all Minnesota (6.5%), California (7%), and Ohio (6%) orders.

Bill To:

  Full Name: _______________________________________________________________
Company Name: __________________________________________________________
Address 1: _______________________________________________________________
Address 2: _______________________________________________________________
City: ____________________________ State: __________ Zip Code: ______________
Phone: _________________________ E-mail: __________________________________
(by giving your e-mail address, you agree to receive e-mail from Jasc)
Check here if you would like to receive information and/or discounts on companion products and services from companies affiliated with Jasc
Ship To:  Check if same as Bill To: information
  Full Name: _______________________________________________________________
Company Name: __________________________________________________________
Address 1: _______________________________________________________________
Address 2: _______________________________________________________________
City: ____________________________ State: __________ Zip Code: ______________

PRODUCT QTY PRICE TOTAL
Virtual Painter     $49.00  
SUBTOTAL
Resident of Minnesota, California or Ohio ADD SALES TAX
Minnesota (6.5%), California (7%), Ohio (6%)
SHIPPING & HANDLING
$8.00 for first item, $5.00 each additional item
(subject to change)
  TOTAL

 

 

 

 

Method of Payment
 VISA  MASTERCARD  AMERICAN EXPRESS  CHECK/MONEY ORDER   PURCHASE ORDER
Card no. _________________________________________ Exp. date _________________
Name on card ______________________________________________________________
  
Mail To: Jasc Software, Inc.
Attn: Customer Service
P.O. Box 44997
Eden Prairie, MN 55344 USA
 Fax To: (952) 930-9172

If you have any questions please contact Jasc Customer Service between 8:00am and 6:30pm CST Monday through Friday at 800-622-2793 or e-mail customer.service@jasc.com