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- Registration for Secure Notes Organizer
- =======================================
-
- Product ID #2528-1
-
- Mail this form to:
- Register Now!
- Dept# 2528-1
- PO Box 1816
- Issaquah, WA 98027
- United States of America
- Or fax it to:
- 1 888 353-7276 (U.S. and Canada; toll-free)
- 1 425 392-0223 (other countries; regular)
- Or just call:
- 1 877 353-7297 (U.S. and Canada; toll-free)
- 1 425 392-2294 (other countries; regular)
- Check, money order, purchase order or credit card order accepted
- Note: for mailed orders, the checks need to be made out to "Register
- Now!". For international checks, we would prefer the funds be drawn in
- US dollars. When this is not possible, we will accept checks for a
- corresponding amount in the country's currency. Unfortunately,
- Eurochecks are not accepted. A purchase order must be faxed or mailed
- to the address listed above with all necessary information including
- billing information.
-
- Order Information
- -------------------
-
- Product ID: #2528-1
- Program Name: Secure Notes Organizer
-
- Pricing:
-
- -----------------------------+-----------+------------+
- | N of licenses | Student | Private | Business |
- +----------------+-----------+-----------+------------+
- | Single user | 20.00 | 29.95 | 39.95 |
- | 2 users | 37.80 | 56.60 | 75.50 |
- | 5 users | 92.50 | 138.50 | 184.75 |
- | 10 users | 180.00 | 269.50 | 359.50 |
- | 15 users | 255.00 | 381.75 | 509.25 |
- | Site license | Available on request |
- +----------------+------------------------------------+
-
-
- Quantity: ___
- Total payment: $___.__
-
- Payment Information
- ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
- First Name: _____________________________________________________
- Last Name: _____________________________________________________
- Company: ______________________________________________________
- Street Address: __________________________________________________
- ______________________________________________________________
- City: __________________________________________________________
- State/Province: __________________________________________________
- Zip/Postal Code: _________________________________________________
- Country: _______________________________________________________
- Daytime Phone: __________________________________________________
- Fax: ___________________________________________________________
- Email Address: ___________________________________________________
- Payment: __ MasterCard __ VISA __ AMEX __ Discover
- __ Check __ Money order __ Purchase order
- For credit card orders:
- Name on Card: ________________________________________________________
- Credit Card Number: __________________________________________________
- Expiration Date: month _______________ year (4 digits) _______________
- Signature : ____________________ Date: ______________