@MailGate Order Form

PSL PRODUCT # 30131
 
Order Information

Org._______________________________________________ (if applicable)

Name_______________________________________________

E-mail_____________________________________________ 
(We will send registration info to this address
If no e-mail is provided add $5.95 for Postal Mail)

Phone______________________________________________

Shipping Address___________________________________

Address2___________________________________________

City/State/Zip_______________ , ____ , _____ - ____

Payment Method __Credit Card  __Check

CREDIT CARD #______________________Card Type_______ 
Expiration Date______

FAX CREDIT CARD ORDERS (using this form) TO: 713-524-6398
____________________________________________________________________
                                                              
                                                             __Order__
                                                             
                         QTY _______ @MailGate @ 99.00/ea    _________

                                                 Sub-Total   _________

                    (add shipping and handling from above)   _________
                                                             _________

                                                    TOTAL  _________

- - - - - - - - - - - - - Detach here -  - - - - - - - - - - - - - -

To order your full retail version of @MailGate without a credit card, 
fill out the following order form and send it with your payment to 
the following address:

Titan Software
1318 J St SW.
Cedar Rapids, IA 52404

(For fastest service, payment should be in the form of a certified check or Money Order)

FAX CREDIT CARD ORDERS TO PSL AT : 713-524-6398

For ordering, questions or support call:
319-362-3829