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Please Print and Fax order form to (770) 888-8113 |
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| B I L L I N G | S H I P P I N G |
| Company | |
| Address: | Address: |
| Address: | Address: |
| City: | City: |
| State: | State: |
| zip/postal code: | zip/postal code: |
| Country: | Country: |
| Attention: | Attention: |
| Phone: | Phone |
| Fax: | Fax |
| Email: | Email: |
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(please check one) Educational_____ Government_____ Commercial_____ Non-profit_____ |
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| Quantity | Product | Available Platforms | Unit Cost |
Total Cost |
| O3 Control Software | Windows 98, 2000 and Windows NT 4.0 sp6 | |||
| ACS Worldwide Support (1
year of support & upgrade services) (20% commercial, 25% gov't & educational) of license fee(s) at time of purchase |
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Shipping and Handling charges please check one |
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| NO CHARGE for electronic delivery (software has been or will be downloaded) | ||||
| Express Mail: (circle: Overnight or 2-day air) You will be invoiced |
TOTAL: |
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| Purchase Order number: | |
| Check Number: | Amount: |
| Credit Card: (please circle) MasterCard Visa Discover | |
| Account number: | Expiration Date: |
| Name on card: | Signature: |