Print Order Form
Modem Booster 1.0 Registration Form
USA and Canada
We accept Credit Card, Personal Check (drawn on US Bank Only), Money Order, International Money Order or Cash. Please make funds available in US Dollars ONLY, payable to INKLINE GLOBAL, INC .
INKLINE GLOBAL, INC.
P.O. Box 5479
Reno NV 89513
USA
Other Countries
For other countries,
please submit your payment via Credit Card, Bank Draft, International Money Order or major cash
currencies. Please make funds available in US Dollars ONLY, payable to INKLINE SOFTWARE
LABS (Rochor P.O. Box 1023, Singapore 911831, Republic of Singapore).
Customer Details (Please type or print clearly)
| Name | : |
| Company | : |
| Address | : |
| City/Town | : |
| Province/State | : |
| Country | : |
| Telephone | : |
| Fax | : |
| : |
Where did you get this program from?
Payment
| Please X | Payment Mode |
| Credit Card (see below) | |
| Check, Money Order | |
| Cash (take your chance) |
| Check to buy | Product | Quantity | Price |
| Modem Booster for Windows 95/98/NT | $19.95 | ||
| Stay Connected! for Windows 95/98/NT | $19.95 | ||
| Visual Calendar Planner for Windows 95/98/NT | $29.95 | ||
| Visual Day Planner for Windows 95/98/NT | $29.95 | ||
| RedBox Organizer for Windows 95/98/NT | $39.95 | ||
| inKline Global CD-ROM (containing latest unregistered versions of the above-mentioned products) | $9.95 | ||
| Nevada residents please add 7% sales tax | |||
|
Grand Total |
$ |
This Section To Be Filled For Credit Card Payment Only
We only accept Visa, Mastercard, American Express, or Discover Card.
We will need the following information:
| Credit card number | : |
| Expiry Date | : |
| The name as it appears on the card | : |
The signature of its owner authorizing inKline Global, Inc. to debit it for the amount indicated above:
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