____ Ship on diskette ($20.00 US = $15.00 registration + $5.00 US shipping/handling)
(Note: Diskette version is *only* available on 3.5" HD diskette)
Address Information:
Name: ________________________________________
Address: ________________________________________
________________________________________
Phone: ________________________________________
E-mail: ________________________________________
Payment Options:
____ Check
____ VISA
Card #____________________________ Exp: ___/___
____ MasterCard
Card #____________________________ Exp: ___/___
Signature, if paying by credit card (if ordering by e-mail, type your full name as it appears on your credit card on the line below, to represent your signature):
Note: Incompletely filled in orders will be returned without being filled. Your Phone number is required, in the event that there is a problem with your order or your payment.
Your name, address, phone, and e-mail address will remain confidential within ArisiaSoft. It will never be provided to a third-party - with the exception of law enforcement personnel with a proper search warrant.