ACEEXPERT v3 PURCHASE ORDER
(Complete the order form and print it)
First Name:    Last Name:   
E-mail:  
Company:  
Address:   
City:    Province/State:   
Postal
code: 
  Country:   
Phone Number:    Fax:   

Method of payment:

Company Check (In Canadian or US dollars only)
Money Order (In Canadian or US dollars only)
Visa   MasterCard
    Credit Card No. :
    Expiration date:  
Amount Paid:
Registration code sent by e-mail
In USA: US $49.95
In Canada: CND $76.00
Elsewhere in the World: US $49.95
CD ROM sent by mail
In USA: US $59.95
In Canada: CND $91.00
Elsewhere in the World: US $59.95

Number of copies:

Signature: ____________________________ Date: _____________________
Please print the form and send it by mail or fax:
Visicom Média inc., 1170 Senecal st, Brossard, QC, Canada, J4X 1L2
Fax : (514)523-4444