home *** CD-ROM | disk | FTP | other *** search
- TRANSFER 95 ORDER FORM (10/15/97)
- ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
- FAX this form toll free to: 888.396.6926 or 612.426.6023
- Or E-Mail to: itech@mn.uswest.net
- ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
- Name: ____________________________________________________________
- Company: _________________________________________________________
- Title: ___________________________________________________________
- Address1: ________________________________________________________
- Address2: ________________________________________________________
- City: _____________________________ State/Province: ______________
- Zip/Postal Code: __________________ Country: _____________________
- Phone: ___________________________________________________________
- FAX: _____________________________________________________________
- ** E-Mail Address: _______________________________________________
- ** Your email address is not optional.
- ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
- Price Qty Description
- ==================================================================
- $19.95 [ ] Personal Edition ______
- $NONE [ ] Upgrade. Serial Number ___________________
-
- $69.95 [ ] Professional Edition ______
- $NONE [ ] Upgrade. Serial Number ___________________
-
- $39.95 [ ] Personal to Professional Upgrade. ______
- Serial Number ___________________
-
- Processing fee $5.00 $5.00
- Total Amount ______
-
- Credit Card Type: ( )Visa ( )MasterCard ( )AMEX ( )Discover
- Credit Card Number: ________________________________
- Exp. Date(MM/YY): ___________
-
- Enter the bank's name and phone number from the back of the card
- or from your statement.
- (Order cannot be processed without this information.)
-
- __________________________________________________________________
-
- Signature: _______________________________________________________
- ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
- All orders must be prepaid in US Funds Only.
- Address & Zip code must match credit card billing address.
- All orders are subject to approval.
-