Using your web browser, you can print this form out directly to your printer.
Please fill out this form in its entirety and mail it with payment (check or money order on a U.S. bank) to the address below. Thank you!
| Name | __________________________________________ | |
| Company | __________________________________________ | |
| ___ I would like my company name to appear in the
program instead of my name |
||
| __________________________________________ | ||
| Address | __________________________________________ | |
| City, State, ZIP | __________________________________________ | |
| Country | __________________________________________ |
Please provide one or more e-mail addresses to receive information such as notices of upgrades via e-mail.
| E-Mail Address | __________________________________________ | |
| E-Mail Address | __________________________________________ |
Our troop would like to order:
| ___ | EdIt! 1.2 (one user) | US $ 19.95 | |
| ___ | EdIt! 1.2 Upgrade | Free | please provide serial number from previous
version: _________________________ |
All users will receive a Registration Key via e-mail which can be entered using the Help->Enter Registration Key menu in EdIt!. This key will unlock the downloadable evaluation copy.
| ___ | Check drawn on non-U.S. bank, add: | $ 10.00 |
| Sales Tax (Illinois only, 7.5%) | _________ | |
| Order Total | _________ |
Payment
When you have completed this form, please enclose a check, money order, or enter your credit card or bank account information below and mail to:
SRT Enterprises
2S782 Timber Drive
Warrenville, IL 60555
| Credit Card | |
| Type of Card | _____ Visa _____ MasterCard |
| Cardholder Name | __________________________________________ |
| Credit Card Number | __________________________________________ |
| Credit Card Expiration | ______ / ______ (month/year) |
| ACH (electronic withdrawal from U.S. checking account, maximum $200) | |
| Name On Checking Account | __________________________________________ |
| Checking Account Routing/ABA Number |
__________________________________________ (This is a 9 digit numeric value, usually to the left of your account number on your checks) |
| Checking Account Number | __________________________________________ |
If you have any questions, you can reach us on the Internet at sales@srtware.com.
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