CREDIT CARD Order Form

PLEASE PRINT LEGIBLY
If we cannot read the form we cannot process the order.

Currency = USD

To order online please click here: http://www.regsoft.net/purchase.php3?productid=50928

Please print out a copy of this form, and send it with your payment

SHOP DETAILS YOUR DETAILS
Retailer RegSoft.com Inc.
PMB 201
10820 Abbotts Bridge Rd
Suite 220
Duluth, GA 30097
USA
Name  
Company
Address


 
Telephone  
 
ORDER DETAILS

Currency = USD

Product IDDescriptionQuantityPrice
50928Windows Cycler1  7.95
Sub Total
 		 7.95
 
TotalUS$ 7.95

Accepted cards by mail is VISA, MASTERCARD/EUROCARD, & AMEX


Card Holder's Name (Capitals please) ______________________________

Credit Card #: ________________________________________________

Exp. date: _ _ / _ _ _ _ (mo/year)

Card holder's signature: __________________________________

Be sure all your information is correct. Immediately after we process the order, an email confirmation will be sent to you automatically. It will contain a keycode

PLEASE READ CAREFULLY

Please send to:

RegSoft.com Inc.
PMB 201
10820 Abbotts Bridge Rd
Suite 220
Duluth, GA 30097
USA
Please note! This order will be charged by RegSoft Inc.