AccessDiver Fax/Mail Order Form
I am writing to order _____ copies of AccessDiver from GigaMind
Software at $ 36 per copy. The product ID is 15995
Shipping and Handling of $3 in North America or $5
overseas will
be added if I do NOT opt for email delivery below.
Name:
Address1:
Address2:
City:
State/Province:
Zip:
Country:
Phone # (voice):
Email address:
Email Delivery or Postal Mail:
Credit Card Number:
Credit Card Type (Amex, Visa, MC, Discover):
Expiration (Month/Year):