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Text File  |  2006-10-04  |  2.5 KB  |  69 lines
  1.              Wisdom Software Product Order Form
  2. ______________________________________________________________
  3. Note: You can save this form and edit it with any text editor,
  4. or print it and fax to us.
  5. Please visit www.wisdom-soft.com for other price options.
  6. ______________________________________________________________
  7.  
  8. Wisdom Software Inc.                         Tel: 604-219-9099
  9. Suite # 338, 255 Newport Drive               Fax: 604-291-6015
  10. Port Moody, BC  V3H 5H1
  11. Canada
  12.  
  13. Courtesy []Mr. []Ms. []Dr. []Prof.
  14.  
  15. Name   _______________________________________________________
  16.  
  17. Email (please print)__________________________________________
  18.  
  19. Organization  ________________________________________________
  20.  
  21. Street _______________________________________________________    
  22.  
  23. City  ___________________  State/Province ____________________    
  24.  
  25. Zip/Postal Code ________________  Country ____________________ 
  26.  
  27. Phone ___________________________     FAX ____________________
  28.  
  29.  
  30. ______________________________________________________________
  31.  
  32. Product Description          Unit Price         Qty  Subtotal   
  33. --------------------------------------------------------------
  34. Product Bundle                US$99.95 (30% Off)                
  35.  (AutoScreenRecorder 2.0 Pro,
  36.   ScreenHunter 4.1 Pro,
  37.   Motion Studio 3.0,
  38.   MotionGIF 3.0)
  39. AutoScreenRecorder 2.0 Pro    US$49.95                
  40. ScreenHunter 4.1 Pro          US$29.95                
  41. ScreenHunter 4.0 Plus         US$19.95
  42. Motion Studio 3.0             US$39.95                
  43. MotionGIF 3.0                 US$19.95                       
  44. --------------------------------------------------------------
  45. PRODUCT CD-ROM & Shipping     US$10.00      
  46. --------------------------------------------------------------
  47.                        Total US Dollar Amount  
  48.                                               ================ 
  49.  
  50. ______________________________________________________________
  51. Payment Method:                                           
  52.                    []US or Canadian Check  []Money order  
  53.                    []VISA   []MasterCard   []AMEX
  54.  
  55. Credit Card Number ___________________________________________
  56.  
  57. Exp. Date          ________________ 
  58.  
  59. Card Verification Number __________ 
  60. (A 3 digit number on the back of your card. AMEX cards: a 
  61. 4-digit number on the front)
  62.  
  63. Name on Card       ___________________________________________
  64.  
  65.  
  66. Signature          ___________________________________________
  67.  
  68.  
  69.