HOW TO ORDER POLICIES ON DISK


Orders from outside the U.S. must pay in U.S. dollars.
Be sure to include your complete mailing address.

BY CREDIT CARD USING THIS SECURE ORDER FORM:

I accept MasterCard or Visa.
Fill out the order form below and e-mail or fax it to me.

My Fax number is: (512) 241-2817

THIS FORM IS ENCRYPTED
FOR YOUR SECURITY

STATEMENT OF CONFIDENTIALITY:

This information will only be used to fill your order and support your customer relationship. It will not be sold, given to, or shared with anyone else.

Name:
Company Name:
Street:
City: State: ZIP:
Outside U.S.: Province/Country/Postal Code:
Phone number:
FAX number:
Email:
Number of employees:

Credit Card Information
Name on card:
Credit Card number:
Date of expiration: Type of card:

Your order will be sent out within 1 business day of receiving it.

Please indicate what you are ordering:

Please select delivery format:

If disks, please select method of shipping:

(If disks shipped to a different address) Ship to:

Name:
Street:
City: State: ZIP:

If shipped via FedEx, preferred method of billing:

FedEx Account #

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