Name___________________________________ Company________________________________ Address_________________________________________________________ City/State/Zip_____________________________________________________ Country__________ Ph_____________________ Fax_____________________ E-mail___________________________
Qty____ | Item #________________ | Title______________________ | Unit $________ | Price $_________ Qty____ | Item #________________ | Title______________________ | Unit $________ | Price $_________ Qty____ | Item #________________ | Title______________________ | Unit $________ | Price $_________ Qty____ | Item #________________ | Title______________________ | Unit $________ | Price $_________ Qty____ | Item #________________ | Title______________________ | Unit $________ | Price $_________ Qty____ | Item #________________ | Title______________________ | Unit $________ | Price $_________ Qty____ | Item #________________ | Title______________________ | Unit $________ | Price $_________ Qty____ | Item #________________ | Title______________________ | Unit $________ | Price $_________
Number of added users____ | Item #________________ listed above | Price for additional users $_________ Number of added users____ | Item #________________ listed above | Price for additional users $_________
Subtotal: $ _____________ Coupon, credit, volume discount, or other savings: $ - ____________ Special ___% discount off Subtotal. Discount code #____________________ : $ - ____________ Add S&H (mark choice below for Shipping & Handling): $ _____________ (Tax exempt # ______________________) Illinois add 6.5% Sales Tax: $ _____________ TOTAL (US funds): $ _____________
For Software Orders: I accept the Software License Agreement. Please send a Multi-user License for ____ total users. I have included additional user(s) payment above. FORMAT: Macintosh PC (compatible with all Windows systems) Hybrid (Mac & PC)
Payment: Check enclosed, payable to Wheeler Arts (sorry, Money Orders are no longer accepted) VISA Mastercard # __ __ __ __ - __ __ __ __ - __ __ __ __ - __ __ __ __ Exp: __ __ / __ __ Card Verification Number (last 3 digits printed on back of your credit card) #____________ Print name as it appears on card_______________________________________________ Signature______________________________________________________________ Cardholder's address__________________________________________________________________________ Purchase Order enclosed #________________________ ($150 minimum / Gov't, Univ or Coop Ext only)
Free Stuff: Bonus choice:_________________________________ (Rules, options, deadline, details)
Shipping & Handling per Order: USA: Parcel Post, $7.95 (1-3 weeks) USA: Priority Mail or UPS Ground, $11.95 (1-2 weeks) Canada: Air Mail, $14.95 (1-3 weeks) International: Global Priority Mail, $19.95 (1-3 weeks) All Countries: Downloads send via e-mail attachments: $0 (1-3 days)
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