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-------FAX TO: 602-577-2181 24-HOURS 7-DAY WEEK --------
NAME:____________________________________________ ADDRESS:____________________________________________ CITY:____________________________________________ STATE:______________________________________________ ZIP:_____________________________ PHONE:___________________________ E-MAIL: _________________________ COMPANY:_________________________________________ HOW FOUND?:______________________________________ Please: Use the address your credit card is billed to, or processing will fail.Product Desired check desired product(s)
Shipping and Tax Information (Check one below)
C. ___ 6.5% Sales Tax (Minnesota Only)
D. ___ $22.00 FEDEX3-Business Day Shipping and Packaging Charge
L. ___ Purchaser/I has/have been informed that all versions are single user license versions. (Multi-user versions > Call 800-651-5520 or 602-577-2181
Certification of Accuracy
The following purchaser has reviewed the information above and certify, to the best of their knowledge, that the information they have provided is true and accurate.
____________________ __________ Purchaser Date Instructions
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