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Text File  |  2000-08-13  |  2KB  |  64 lines
  1. MissionRisk Order Form
  2.  
  3. Paying by telephone:
  4. Toll free in the US:            1-877-353-7297
  5. International:                (425) 392-2294
  6. You will need to quote the Product ID:     1584-1
  7. Unit price:                $12.00
  8. Processing fee:                $3.00
  9.                     ---------
  10. TOTAL:                    $15.00
  11.                     ---------
  12.  
  13. Paying by cheque:
  14. Please make the check out to "RegisterNow". For international checks,
  15. we would prefer the funds be drawn in US dollars. If this is not
  16. possible, we will accept checks for a corresponding ammount in your
  17. country's currency.
  18.  
  19. Unfortunately, Eurochecks are not accepted.
  20.  
  21. For mail orders or fax orders, fill in the information below and mail
  22. to:
  23.         RegisterNow
  24.         Dept# 1584-1
  25.         P.O. Box 1816 
  26.         Issaquah, WA 98027
  27.         United States of America 
  28.  
  29. Or fax to:
  30. Toll free in the US:            1-888-353-7276
  31. International:                (425) 392-0223
  32.  
  33. Please fill in the following information:
  34. -------------------------------------------------------------------------
  35. Product ID:    1584-1
  36. Product name:    MissionRisk
  37.  
  38. User ID:    *If applicable*
  39. First Name:    
  40. Last Name:    
  41. Company:    
  42. Billing Address:  
  43.   
  44. City:    
  45. State/Province:    
  46. Zip/Postal Code:    
  47. Country:  
  48. Phone:    
  49. Email Address:   *REQUIRED* 
  50.  
  51. Order Information  
  52. Quantity:     1      
  53. Unit price:      $12.00
  54. Processing fee:    $2.50
  55.         --------
  56. TOTAL:        $14.50
  57.         --------
  58.  
  59. Credit Card Information    *If applicable*
  60. Name on Card:
  61. Type of Credit Card:
  62. Card Number:
  63. Expiration Date:
  64. -------------------------------------------------------------------------