CREDIT CARD Order Form PLEASE PRINT LEGIBLY If we cannot read the form we cannot process the order. Currency = USD

To order online please click here:

http://www.regsoft.net/purchase.php3?productid=50928

Please print out a copy of this form, and send it with your payment

SHOP DETAILS | YOUR DETAILS
Retailer | RegSoft.com Inc. PMB 201 10820 Abbotts Bridge Rd Suite 220 Duluth, GA 30097 USA
Name |
Company |
Address |
Telephone |
ORDER DETAILS
Product ID | Description | Quantity | Price

Currency = USD

50928 | Windows Cycler | 1 | 15.00
Sub Total | 15.00
Total | US$ 15.00

Accepted cards by mail is VISA, MASTERCARD/EUROCARD, & AMEX Card Holder's Name (Capitals please) ______________________________ Credit Card #: ________________________________________________ Exp. date: _ _ / _ _ _ _ (mo/year) Card holder's signature: __________________________________

Be sure all your information is correct. Immediately after we process the order, an email confirmation will be sent to you automatically. It will contain a keycode

PLEASE READ CAREFULLY

Please send to:

  RegSoft.com Inc.
  PMB 201
  10820 Abbotts Bridge Rd
  Suite 220
  Duluth, GA 30097
  USA

Please note! This order will be charged by RegSoft Inc.