Home

Fax Order Form for Equation Illustrator V (#92382904136)

Ship-To Name & Address:

First/Middle Name:	Last Name:
Company name:
Address line 1:
Address line 2:
City:	State/Province --U.S. & Canada only:
Zip, Country:	Phone:	Fax:
Your email address (must be provided for delivery of download url):
Credit card number (MC, Visa, Amex, Discover, Switch, Delta, Eurocard, Diner's):	Expiration- Month/Year: Issue Number (Switch) Start Date (Diner's):

Credit Card Holder's Name & Address for verification: Do NOT enter the BANK's name or address in the fields below. Enter the address where the card holder receives the statements. (Only fill out the spaces below if the credit card holder's name or address is DIFFERENT from the Ship-To name and address entered in the spaces above.)

Name on the card:	Company name:
Address line 1:
Address line 2:
City:	State/Province:	Zip, Country:

 Order Details

Item: All full licensed versions.		Price	Number	Subtotal
Single (1) user. ($19.95ea) by email		$19.95
Ten (10) user. ($11.97ea) by email		$119.70
Twenty (20) user. ($10.27ea) by email		$205.40
Fifty (50) user. ($8.42ea) by email		$421.00
One hundred (100) user. ($7.24ea) by email		$724.00
CD by Air mail. Single user		$40.00
Fax Handling Fee		$3.00	1	$3.00
Total Order Amount in US Dollars
Card holder will pay card issuer above amount pursuant to card holder agreement	Signature: __________________________________

 

To order by fax using a credit card, please print out this document, complete it and fax to Soft Shop at one of the numbers below. All are toll free unless marked with a *. If your country is not listed please fax to the USA number +1(978) 336-0331
Australia 1800 013971 Belgium 0707 03334 * Canada 866 723 3438 Finland 0925 360011 * France 0800 917034 Germany 0800 1808295	Sweden 0207 94125 Ireland 1800 509147 Italy 800 781703 Netherlands 0848 845094 * New Zealand 0508 555300	Portugal 800 844030 Spain 900 95 8968 Switzerland 0800 835140 UK dial 0870133 1269 * USA 866 219 9380