Music Database 2000 
Custom Database Conversion Payment Form
and/or Software special programming payment form

Secure / Encrypted ORDER FORM

Click here for more details
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This form is for paying for custom programming and music database conversions
To A Custom Computer Solution/Music Database 2000 and other software by www.accsi.com 

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.

*Your First Name ------>
*Your 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->

DOWNLOAD OR CDROM OPTION (CLICK ONE TO HIGHLIGHT IT)


PAYMENT is in US Dollars for software programming and conversions.
Custom Database Conversion Charges------------------------------
(only fill this in if you paid custom conversion charges to convert
 your current database or modify the program for special use)
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

If paying by check---allow 7-10 days after we receive your check for us to ship
your software or email it. 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)

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

I will be paying by 
If payment is by credit card enter credit card
Enter the card number here 
Expiration Date            
Exact Name on credit card  
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You agree to the above payment and agree to the cardholder terms if paying
by credit card.

 

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.
Thank you!

 

 

Security Note
We are VERY serious about your credit card number security and therefore do NOT store card numbers
in a database on the web.  The are transmitted to our PC database in our office.

WHO HOSTS THIS SECURE STORE?

All Time Favorites Event Planning Resources
E-Commerce Store
(parent company for Music Database 2000)
PO BOX 211533
Eagan, MN 55121
1-(651) 454-1124
FAX 1-(651) 687-0403 24 hours

Last updated 
Thursday, August 08, 2002 09:07:34 PM -0500