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Fax Order Form for Progress Planner (SWREG #
1184)
To order by fax using a credit card, please print out
this document, complete it and fax to Soft Shop.
Following are our fax numbers
- 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
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Sweden 0207 94125
Ireland 1800 509147
Italy 800 781703
Netherlands 0848 845094 *
New Zealand 0508 555300
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Portugal 800 844030
Spain 900 95 8968
Switzerland 0800 835132
UK dial 01297 553366 *
USA
866 219 9380 |
Ship-To Name & Address:
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First/Middle Name:
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Last Name:
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Company name:
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Address:
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Phone + Fax:
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Your email address - in capitals:
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Card type and number (MC, Visa, Amex, Discover, Switch, Delta, Eurocard, Diner's):
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Expires- Month: Year::
Start Date (Diners only):
Issue Number (Switch only):
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We accept most cards including Discover,
JCB, Eurocard, Diner's Club, Delta, Switch, Visa, Amex, Mastercard but
we charge a 4% surcharge on Diner's Club
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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 cardholder 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.)
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Name on the card:
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Company name:
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Address:
(if different to above)
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Order Details
| Product |
License |
Delivery |
Price (USD) |
Quantity
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Subtotal
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Progress Planner
Personal 1.7
Personal goal setting and performance management software
program. (#1184100) |
1-user |
Registration code sent by
e-mail. |
$29.99 |
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1-user |
Registration code
sent by
e-mail,
CD-ROM
by mail |
$44.99 |
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| 5-user |
Registration code
sent by
e-mail,
CD-ROM by mail |
$99.99 |
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| 10-user |
Registration code
sent by
e-mail,
CD-ROM
by mail |
$149.99 |
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Progress Planner
Professional 1.2
Team goal setting and performance management software
program. (#1184200) |
1-user |
Registration code sent by
e-mail. |
$49.99 |
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1-user |
Registration code
sent by
e-mail,
CD-ROM
by mail |
$64.99 |
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| 5-user |
Registration code
sent by
e-mail,
CD-ROM
by mail |
$149.99 |
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| 10-user |
Registration code
sent by
e-mail,
CD-ROM by mail |
$249.99 |
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Total Order Amount in US
Dollars |
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Shipping and handling included in prices
above
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Card holder will pay card issuer above amount pursuant
to cardholder agreement
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Signature: __________________________________
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