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- ActionOutline Standard 1.6: Order form
- ======================================
-
- You can find the latest information at
- https://www.regsoft.com/cgi-bin/reg_it_offsite.pl?5956
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- * Order by Fax
-
- Please fill in the form below Completely, print it out,
- and FAX it to 770-497-9234
-
- * Order by Mail
-
- Please fill in the form below, print it out, and Mail it with
- a Check or Money Order in US Dollars, made out to RegSoft.com Inc
- to:
-
- RegSoft.com, Inc.
- PMB201
- 10820 Abbotts Bridge Road
- Duluth, GA 30097
-
- * Order by Voice
-
- Call 1-877-REGSOFT (734-7638)
- (international orders please call 770-319-2718)
- Please include the below Product ID as well as any
- required fields below.
-
- ================================
-
- * Product ID 5956
-
- * Program Name ActionOutline
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- * Registration $24.95
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- * Quantity ____
-
- Please be sure your email address is correct!
- This is how you will receive your registration
- confirmation.
-
- HOTMAIL email addresses, and other email forwarding
- addresses are NOT accepted. Compuserve users please
- use a period (.) instead of a comma(,) 1234.567 not
- 1234,567.
-
- Billing Information:
- --------------------
-
- * Email Address:
-
- * Name (as it appears on credit card):
-
- * Company Name (optional):
-
- * Address (Exactly as it appears on your statement):
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- * City:
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- * State/Province:
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- * Country:
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- * Postal Code:
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- * Phone Number:
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- * Payment Info:
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- [ ] Visa
- [ ] MasterCard
- [ ] American Express
- [ ] Discover (Novus)
- [ ] Check
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- * Card Number:
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- * Card Expiration Date:
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- * Signature:
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