4DiskClean Gold Order Form at Swreg.org (UK)  

Delivery is done through a vendor generated registration code that 
will be sent to you via email within 48 hours. 
                       
Ordering Methods:

SWREG product ID #: 15862323 -> 4Diskclean Gold

BY FAX 
To order by fax using a credit card, please print out this document, complete it and fax to Soft Shop. 
Following are our fax numbers - all are toll free unless marked with a *.
If your country is not listed please fax to the USA number +1 (978) 336-0331 
Australia 1800 013971
Belgium 0707 03334 *
Finland 0925 360011 *
France 0800 917034
Germany 0800 1808295
Sweden 0207 94125 	
Ireland 1800 509147
Italy 800 781703
Netherlands 0208 845094 *
New Zealand 0508 555300
Portugal 800 844030 
Swiss 0800 835140	
Spain 900 95 8968
Switzerland 0800 835132
UK dial 01297 553366
USA or Canada 866 219 9380 (toll free or (978) 336-0331 * 	

BY PHONE 
If you prefer you may phone the following numbers and give your complete order - English Language only. When requested for your card number do not tap it in but speak it. The product code is shown as the SWREG # above. If your country is not listed below please call the UK number +44 1297 552862 
Australia 1800069620 	
Norway 800 10772 	

Germany 0800 1808206 	
Portugal 800 844031 	

Ireland 1800 509145 	
Spain 900 95 8969 	

Italy 801 781702 	
Sweden 0207 96278 	

Netherlands 0800 0232865 	
Switzerland 0800 835132 	

New Zealand 0508555200 	
USA 1 866 500 6750 	

  
Ship-To Name & Address: 
First/Middle Name:	Last Name:	
Company name: 	
Address: 

  	

Phone + Fax 	
Your email address - in capitals: 	
Card number (MC, Visa, Amex, Discover, Switch, Delta, Eurocard, Diner's):	Expires- Month: Year:: 
Start Date (Diners only):
Issue Number (Switch only):	
	
Credit Card Holder's Name & Address for verification: Do NOT enter the BANK's name or address in the fields below. Enter the address where the cardholder receives the statements. (Only fill out the spaces below if the credit card holder's name or address is DIFFERENT from the Ship-To name and address entered in the spaces above.) 
Name on the card:	Company name:	
Address:
(if different to above) 

  	
Order Details 
Item 	Price 	Quantity 	Subtotal 	
4Diskclean Gold 	24.00 $US 	  	  	
4Diskclean Lite	12.00 $US 	  	  	
Password Central 	12.50 $US 	  	  	
Fax handling fee: 	$3 	1 	$3 	
Shipping and handling: <By email - free of charge> 	0.00 $US 	  	  	
 Total Order Amount in US Dollars  	  	
Card holder will pay card issuer above amount pursuant to cardholder agreement 	 

Signature: __________________________________ 	
We accept most cards including Discover, JCB, Eurocard, Diner's Club, Delta, Switch, Visa, Amex, Mastercard but we charge a 3% surcharge on Diner's Club 

------------------------------------------------------ For Mail --------------------------
RSS Systems (1586) 
Product id 15862323 - 4Diskclean Gold : Price usd 24.00 
Product id 15862324 - 4Diskclean Lite : Price usd 12.00 
Product id 15862325 - Password Central : Price usd 12.50 

 
PLEASE READ CAREFULLY 

Print this document out and enclose with your payment. 
YOU MAY PAY BY CHECK/CHEQUE
You may pay with a US dollar check drawn on a US bank or a Pound Sterling cheque drawn on a UK bank or an International Money Order in US dollars only. All payments made to "Atlantic Coast of America Corporation". No payments in any other currency please. 
Please send to:
Atlantic Coast - Order Processing Centre
The Shareware Village
Colyton, EX24 6HA
England 
 Product id 15862323 - 4Diskclean Gold : Price usd 24.00

YOU MAY WIRE FUNDS TO OUR US BANK - PLEASE ALLOW 2 WEEKS FOR PROCESSING. 
•	You must ensure your own bank's charges are paid at your end. You must add $15 to the price shown above to cover our bank charges on top of your own bank's charges.
•	Ensure the order number on this document is quoted so we know it is your money.
•	DO NOT SEND CHEQUES STRAIGHT TO THE BANK.
•	Advise us by email if you have sent payment to the bank by ACH direct deposit to mailto:info@swreg.org?subject=ACH deposit 
Please wire to:
Union Planters, Tower Banking Center,1 Indiana Square, Indianapolis, IN 46204, USA 
Account name: Atlantic Coast of America Corporation
Account number 4200073946
Routing/ABA 5021 0265 
SWIFT UPNBUS44 	

 
Keep the reference # for your record. Be sure all your information is correct. We normally process this order within 1 business day after the check cleared or money order received. Immediately after we process the order, an email confirmation will be sent to you automatically. It will contain download or keycode instructions (if any).