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Text File  |  1999-12-11  |  4KB  |  91 lines
  1.  
  2.                      4DiskClean Gold Order Form   
  3.  
  4. Delivery is done through a vendor generated registration code that 
  5. will be sent to you via email within 48 hours. 
  6. Register Code will be sent in the name of user,or in company name
  7. (multiuser license).
  8.                        
  9. Ordering Methods
  10.  
  11. Telephone Orders $3.00 each
  12. Mail and Fax Orders $2.50 each 
  13.  
  14. Telephone 
  15. Toll Free: 877-353-7297
  16. Regular (International): 425-392-2294 
  17.  
  18. Fax 
  19. Toll Free: 888-353-7276
  20. Regular (International): 425-392-0223 
  21.  
  22. Paying by Check via Postal Mail 
  23.  
  24. Make sure to makes check out to "Register Now!".
  25. mail checks to: 
  26.  
  27.   Register Now!
  28.   Dept# 2186-2
  29.   PO Box 1816
  30.   Issaquah, WA 98027
  31.   United States of America 
  32.                         
  33. For international checks, we would prefer the funds be drawn in US 
  34. dollars. When this is not possible, we will accept checks for a 
  35. corresponding amount in the country's currency. 
  36. Unfortunately, Eurochecks are not accepted. 
  37.  
  38. Purchase Orders 
  39. A purchase order must be faxed or mailed to us with all necessary
  40. information including billing information.                         
  41.                                                                                               
  42.                                              
  43.                                                                 
  44.     
  45.  
  46.  
  47.                                        
  48. Product id:  2186-2   4DiskClean Gold
  49.                                      
  50. First Name:- -----------------------------------------------------
  51.                                                                      
  52. Last Name: -------------------------------------------------------
  53.                                                                          
  54. Company: ---------------------------------------------------------
  55.                                                                          
  56. Billing Address: -------------------------------------------------
  57.                                                                         
  58. City: ------------------------------------------------------------
  59.                                                 
  60. State/Province: --------------------------------------------------
  61.                                                 
  62. Zip/Postal Code: -------------------------------------------------
  63.                                                 
  64. Country: ---------------------------------------------------------
  65.                                                                  
  66. Phone: -----------------------------------------------------------
  67.                                                                          
  68. Email Address: -------------------------------------------REQUIRED                                                            
  69.  
  70. Order Information 
  71.  Quantity:  1: (   ) 1 User License   
  72.             5: (   ) 1 Company License (50 users).    
  73.  
  74.  Price:        (   )  $  24.00   = 1 User license.
  75.                (   )  $ 120.00   = 1 Company license.
  76.  
  77. Extras:      (   )  + $ 2.50  tax ,for fax orders.   
  78. all prices in american dollars.     
  79.                      
  80. Payment Information
  81. Name on Card: ----------------------------------------------------
  82.                                                                          
  83. Type of Credit Card:     
  84.   (   ) VISA         (   ) MASTERCARD   (   ) AMERICAN EXPRESS   
  85.   (   )  DISCOVER(NOVUS)   (   ) EUROCARD
  86.                                             
  87. Card Number: ------------------------------
  88.                                             
  89. Expiration Date: -----/----/----
  90.  
  91. Month ------   Year(4 digits)  ----/----/-----