Company__________________________________________________
Name_____________________________________________________(required)
Address___________________________________________________
Address___________________________________________________
City ______________________________________________________
State_________________ ZIP_______________________
Country____________________________________________________
Phone_____________________________________________________
email______________________________________________________ (print clearly!)
| WinDates: $19.95 x ____ copies = | $_______ | |
| Shipping Method (check one) | ||
|
Code Via Email Free |
______ | |
|
U.S. / Canada Postal $3.00 |
______ | |
|
International Postal $5.00 |
______ | |
|
Shipping Cost |
$_______ | |
| Tax 8.25% (only pay tax if you live in Texas) | $_______ | |
|
$19.95 tax = $1.65 |
||
|
$22.95 tax = $1.89 |
||
| Total | $_______ | |
Send this form and a Check or Money Order payable through a U.S. Bank to :
Rockin' Software
5116 Bissonnet #134
Bellaire, TX 77401-4007
Where did you obtain WinDates? (Internet site address, disk vendor name)
_____________________________________________________________