| I would like to purchase these programs: | Quantity | Unit Price | Total |
|
|
$55.95 | ||
|
|
$39.95 | ||
|
|
$75.95 | ||
|
|
$15.95 | ||
| CD or Floppy Disk ◄[circle
one for shipping & handling] [▼check only one ] Inside USA [$15.95] Canada, Mexico [$16.95 USD] All Other Countries [$17.95 USD] |
$15.95 $16.95 USD $17.95 USD |
|
|
|
[ |
$29.95 [9.95/24.95] |
||
| Arizona residents, please add 6.3 % sales tax |
Tax: |
||
|
Total: |
|||
Name:_____________________________________________________________________
Address:___________________________________________________________________
City, State, Zip: ______________________________________________________________
E-mail:__________________________________________________________[REQUIRED]
Phone Number:
________________________________________[REQUIRED
- either Fax or Voice]
Visa
MasterCard Discover
American
Express
My card number is: ________________________________________________ Expiration
date: ____--_____
Card Code: ___________ [Visa, MasterCard - 3 numbers back, right of card; Others
- 4 numbers - front, top, right]
Cardholder signature: _____________________________________________________________________
Please print and mail this page to:
masK, L.L.C.
P.O. Box
97951
Phoenix, Arizona 85060
Or Fax to: 858-792-0803