|
Always Great Software, Inc. Multi-Screensaver Set Order Form
Check/Money Order? Always Great Software, Inc. | P.O. Box 822 | Pleasant Grove, UT 84062-0822
Credit Card? setSystems | 675 Southpointe Ct Ste 250 | Colorado Springs, CO 80906
|
|
|
|
Billing Information
|
Name: |
|
Company: |
|
Street: |
|
City, State/Province, Zip/Postal Code: |
|
Country: |
|
|
|
| Mailing Information: (if different from above) |
Name: |
|
Company: |
|
Street: |
|
City, State/Province, Zip/Postal Code: |
|
Country: |
|
|
|
| Contact Information: |
E-mail Address: |
|
Phone Number: |
|
|
|
| Product Information: |
Screensaver Set
|
Quantity |
Price |
Total Price |
| |
|
|
|
| |
|
|
|
| |
|
|
|
| |
|
|
|
| Sub-total: |
|
| Minus Discount (if any): |
|
| Plus
Shipping (CD-ROM in U.S. [$5.00]; CD-ROM Int'l [$10.00]): |
|
| Plus Sales Tax (6.25%--Utah residents only): |
|
| Total: |
|
|
|
| If paying by credit card, please provide the following information and sign below: |
|
Credit Card #: |
|
Expiration Date: |
|
|
|
| I authorize setSystems to bill my credit card and agree to pay the total amount according to my card issuer agreement. |
|
| Signature:_______________________________ Date:_________________ |