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.