CREDIT CARD Order Form

PLEASE PRINT LEGIBLY
If we cannot read the form we cannot process the order.

Currency = USD

Please print out a copy of this form, and send it with your payment

SHOP DETAILS YOUR DETAILS
Retailer RegSoft.com Inc.
PMB 201
10820 Abbotts Bridge Rd
Suite 220
Duluth, GA 30097
USA
Name  
Company
Address


 
Telephone  
 
ORDER DETAILS

Currency = USD

Product IDDescriptionQuantityPrice
34043CD Box Labeler Pro (deluxe version)1 24.95 
Sub Total
Processing Fee
TAX (VAT)		 24.95
0.00
0.00
Total 24.95

Accepted cards by mail is VISA, MASTERCARD/EUROCARD, & AMEX


Card Holder's Name (Capitals please) ______________________________

Credit Card #: _ _ _ _-_ _ _ _-_ _ _ _-_ _ _ _

Exp. date: _ _ / _ _ _ _ (mo/year)

Card holder's signature: __________________________________

Be sure all your information is correct. Immediately after we process the order, an email confirmation will be sent to you automatically. It will contain a keycode

PLEASE READ CAREFULLY

Please send to:

RegSoft.com Inc.
PMB 201
10820 Abbotts Bridge Rd
Suite 220
Duluth, GA 30097
USA
Please note! This order will be charged by RegSoft Inc. (Not Green Point Software)

Thank you for your custom.