If you're browser/connection supports SECURE ENCRYPTED PAGES
then 
To order with Credit Card - PayPal or Check use the secure page (click button above)
Any problems ordering?  Please contact us USA Toll Free 1-866-688-9600 or contact here

This order form is for CREDIT CARD AND USA CHECK ORDERS 
(contact us here if need other options) 
Examples: VISA/Master/Discover/Amex orders and USA Check orders.

* means this item is required to process your order.

How did you hear of us?
*Your First Name ------>
*Your Last Name  ------>

If this is to be registered in another person's name 
(as if you are buying them a gift)
then put their name here as the software will be registered in their
name and their address:
Other person's First Name 	
Other person's Last  Name 

Company Name---> (optional)
*Street Address->
*City----------->
*Province/State->
*Zip/Postal Code>
*Country-------->

*Complete Telephone Number (including country and area code) 


*E-Mail address->

I have or will download the software on the internet (do not send disks or CD)I NEED you to send me CDROM of the software (I've added the extra $)(choose 1)
(Note:You can create the old floppy disks from the CDROM or website if needed)

PRICES: US Dollars (Note:One copy has to be purchased per computer)
Click here for information about regular version or network version

Quantity                Regular Version      Network Version
Quantity 1 (first copy) $ 39.95              $49.95
Additional copies       $ 29.95 each.        $39.95 each.
DEMO on CD only         $  5.00              $ 5.00

I am ordering      registration code  at $
and an additional  registration codes at $ each.
Additional copies are for you only within your company or personal use.
You can not order additional copies for friends for discounted rates as
each additional copy is registered under your name only.
Note: One registration code per computer.   
The registration code will unlock the demo copy to a FULL Version and
unlock the CD-ROM version if you are ordering a CD-ROM.
*** Note *** If this is your 2nd copy you can order at the 29.95 price.

Payment Information---------------------------------------------------

I will be paying by United States CheckVisa Credit CardAmerican Express Credit CardMastercard Credit CardDiscover Credit CardDIRECT WIRE TRANSFER bank to bankDoes Not Apply

If payment is by credit card enter credit card information below:
Enter the card number here (required)
Expiration Date            (required)
Exact Name on credit card  (required)
Street or PO box the credit card statements are mailed to:
                           (required)
ZIP/Postal CODE the credit card statements are sent to (required)
3 or 4 number security code printed on the credit card (required)
This # is the last 3 or 4 #'s on the front or back (not the card #)


Yes, we do accept US Military and US Government PO #'s
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If you picked DIRECT WIRE TRANSFER as payment method, 
please see the bottom of this form for additional instructions

Custom Database Conversion Charges------------------------------
(only fill this in if you paid custom conversion charges to convert
 your current database to our format)
As quoted by you, I agree to pay an additional US $  
for customization of mdb2000 or conversion of my current database 
into MDB2000 format which is the same as (Microsoft Access 7.0 format - Access 97)
Custom version of mdb2000 require a separate email describing your needs prior to 
filling out this order form so that you can put the proper $ amount in the box
above.
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CD-ROM Option
I have added $5.00 above to the price as I need A CD-ROM copy of the software.

Shipping Destination (if not USA)
I have added $5.00 for shipping to NON-USA address

Minnesota Residents
I live in Minnesota USA and please add 6.5% sales tax of $ dollars.
   Tax examples are 39.95 = 2.60 tax or 44.95 = 2.92 tax

IF you have a Certificate Number please enter it here 
(if you don't know what this is...then it does not apply to your order)

If paying by check---allow 7-10 days after we receive your check for us to ship
your software. Send checks to the address at the bottom of this page.

The total amount I will be paying you is $ US dollars.  
(please include all additional charges above that may apply)

You agree to the above by clicking on the button below.

 
Any problems ordering?  
Please contact us USA Toll Free 1-866-688-9600 or contact here

NOTE: Your machine's ID # is sent in encrypted form to us so we can 
verify you are the credit card holder and you are the sender of the e-mail.

REMEMBER if you don't want to send your info over the Internet you can 
PRINT this form or call us at 1-866-688-9600 TOLL FREE
Phone orders are processed within 1-2 days.  Internet orders-same day.

Thank you!