To order by fax, please print this form, fill it out and fax it to:
818-593-4917
AddWeb ORDER (FAX)
Your Name: __________________________ Company:__________________________
Title: __________________________ E-Mail: __________________________
Address: _____________________________________________________________
Address: _____________________________________________________________
City: ___________________________State: ____________Postal:________
Home Phone: ____________________ Work Phone:____________________________
Fax: ____________________ Web Page: ____________________________
License Information:
Deluxe Edition @ $ 69.99 ea. Quantity: _____________ Total:_________
Platinum Edition @ $149.99 ea. Quantity: _____________ Total:_________
Professional Edition @ $299.99 ea. Quantity: _____________ Total:_________
* Upgrade Dlx to Plat @ $ 90.99 ea. Quantity: _____________ Total:_________
* Upgrade Dlx to Pro @ $240.99 ea. Quantity: _____________ Total:_________
* Upgrade Plat to Pro @ $160.99 ea. Quantity: _____________ Total:_________
TOTAL PURCHASE: $______________
* If Upgrade, please include current Registration ID and Number.
ID:____________________________________
NUM:___________________________________
Credit Card Type:
( )MasterCard ( )Visa ( )American Express ( )Discover
Credit Card Number:______________________________________________
Expiration Date: _______ Cardholder's Name:___________________
Signature:_______________________________________________________