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- Active SMART Monitor (product number 3560-8): order form
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-
-
- If you would like to register Active SMART Monitor you can
- do the registration online at
- https://www.regnow.com/softsell/nph-softsell.cgi?item=3560-8
- You can also use the "Order online" item in the
- Active SMART Monitor program folder in the Start menu
-
- Alternatively, you can go to http://www.regnow.com,
- open order tabset and enter the program name "Active SMART Monitor"
- in "Search" field or enter program ID 3560-8 in "Quick Jump" field.
-
- If you do not have access to the Internet, you can register
- via phone, fax or postal mail. Please print out the following
- form, and fax or mail it to:
-
- Universal Commerce, Inc.
- ATTN: Orders
- PO Box 1816
- Issaquah, WA 98027
- United States of America
-
- Phone:
- Toll Free: 877-353-7297
- Regular: 425-392-2294
- Fax:
- Toll Free: 888-353-7276
- Regular: 425-392-0223
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-
-
-
- Order Information
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-
- Registration form for Active SMART Monitor
-
- Personal Information
-
- Program No.: 3560-8
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- First Name: ___________________________________________
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- Last Name: ___________________________________________
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- Company: ___________________________________________
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- Street Address: ___________________________________________
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- City: ___________________________________________
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- State/Province: ___________________________________________
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- Zip/Postal Code: ___________________________________________
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- Country: ___________________________________________
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- Phone: ___________________________________________
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- Email Address: ___________________________________________
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-
- Order Information
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- Quantity: ______
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- Price: $24.95
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-
- Payment Information
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- Name on Card: _____
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- Type of Credit Card: _____
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- Card Number: ___________________
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- Expiration Date: Month ________ Year(4 digits) _______
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- Signature : ____________________ Date: ______________
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