Entisoft

149 S. Barrington., Suite 722

Los Angeles, CA  90049

Phone: (310) 472-3736

Fax: (310) 440-5562

 

Order Form for Entisoft Units

 

Please print this form, fill it out completely and fax to (310) 440-5562 or mail to:

Entisoft Company, Atten: Sales Department, 149 S. Barrington., Suite 722 Los Angeles, CA 90049 or 

Call toll free in the US (800) 610-0440, +1-310-472-3736

 

Today's date:     ___________                                     Phone #:           _______________________

Name:              _____________________________  FAX #:             _______________________

Company:         _____________________________  E-Mail Address:______________________

Address:           _____________________________

City:                 _____________________________

State/Province:  _____________________________  ZIP/Postal Code: __________

Country:            _______________________________________

 

INDIVIDUAL USE

 

Individual use license at $39.95 each.                  # computers ____ x $39.95 = ______

 

MULTIPLE USE

 

2 to   9 computers at $30 each.                           # computers ____ x $30 = ______

10 to  24 computers at $24 each.                        # computers ____ x $24 = ______

25 to  49 computers at $20 each.                        # computers ____ x $20 = ______

50 to  99 computers at $14 each.                        # computers ____ x $14 = ______

100 to 500 computers at $10 each.                      # computers ____ x $10 = ______

 

WRITE OR CALL FOR PRICING ON QUANTITIES OVER 500.

 

Shipping & Handling:

 

Domestic US & Canada $3.50                                                                ________

 

Outside US & Canada $10.00                                                                 ________

 

TOTAL ENCLOSED US FUNDS                                                         ________ US$

 

CREDIT CARD PURCHASES:            VISA ____ or MasterCard ____ or American Express ____

 

Card Number:   _________-_________-_________-_________  Expiration Date: ______/______

 

Card Holder's Signature REQUIRED:    _______________________________________

 

TERMS:  VISA, MasterCard, American Express, Check or Money Order drawn on a U.S.A. bank in  U.S.A. funds. Corporate Purchase orders (Net 30 days) accepted for software from large corporations within the USA & Canada.  ALL LICENSES ARE PREPAID ONLY.  ALL ORDERS OUTSIDE OF THE UNITED STATES AND CANADA MUST BE PREPAID.  Please make remittance payable to ENTISOFT, Prices and terms subject to change without notice.