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- SciTech Display Doctor 5.3
- Order/Registration Form
-
- SciTech Software, Inc. ___/___/___
- 505 Wall Street MM /DD /YY
- Chico, CA 95928 USA
- Toll free/Phone/Fax: 800-486-4823 / 916-894-8400 / 916-894-9069
-
- PLEASE PRINT OR TYPE CLEARLY!
-
- Name: ______________________________________________________________
-
- Company: ___________________________________________________________
-
- Address: ___________________________________________________________
-
- __________________________City ____________ State _________
-
- Zip/Postal Code___________________ Country ________________
-
- Phone: _______________________________ Fax: _______________________
-
- Email: _____________________________________________________________
-
- Register product(s) to: [ ] Company [ ] Individual
-
- Pay By: [ ] Check (USA only) [ ] Money Order [ ] Credit Card
- *$10.00 charge for all returned checks
- Credit Card Orders: MasterCard / Visa / Amex / Discover (Circle one)
-
- Card Number ___________________________________ Expires ___/___
-
- Exact name on card (print) ____________________________________
-
- Price List Cost Qty Price
- ------------------ ------------------ ----- --- ------
- Display Doctor 5.3 US$34.95* ___ $ ______
- Disk & Manual US$10 ___ $ ______
-
- *Includes any 5.x upgrades (available online)
-
- Subtotal: $ ______
- California residents add 7.25% sales tax $ ______
- Shipping & Handling Charges (See below for amount!): $ ______
- Total Enclosed: $ ______
-
- I have read and agree to abide by the enclosed license agreement and I
- agree to be bound by my credit card agreement.
-
- (Signature required) _____________________________________
-
- SHIPPING CHARGES: If a disk & manual are ordered from outside the USA, the
- shipping charge is US$9 and will be delivered via airmail. For orders within
- the USA, the shipping charge is US$4. Orders without disk & manual will
- receive a receipt and registration code via airmail for no additional
- charge.
-