CHEQUERS SOFTWARE ORDER FORM --------------------------------------------------------------- To purchase Licenses for our products please either: 1) Complete the details below, save this file, Print the form and Post a money order or cheque together with your printed details: Chequers Software Ltd, Level Two, NZ Post Building, Serlby Place, Porirua, Wellington, New Zealand. 2) Complete the details below and E-mail to us at: support(a)cheqsoft.com. We will advise our banking details for your direct deposit by return E-mail. 3) Use our secure Internet Credit Card Agent. It is accessed from http://www.cheqsoft.com/payment.html -------------------------------------------------------------- Name: Organisation: Address: Country: Phone Number: Fax Number: E-Mail Address: Alternative E-mail Address: Receive product E-mails updates etc: Yes/No Date: Where did you hear about us?: Any other comments please: Order number: Product(s) sought: Break Reminder Clipboard Express Pro MathsOwn MP3Detective TimesOwn Version Prices are detailed at http://www.cheqsoft.com/payment.html (Please complete the applicable spaces and Delete inapplicable lines) Volume Quotes may be sought - Please advise the number of users On receipt of payment confirmation we will arrange your Licensing. Thank you for your custom and support. ----------------------------------------------------------------- Privacy Statement - This information will only be used for Chequers Software Ltd purposes. This information will not be communicated by Chequers Software Ltd to any un-related external individuals or agencies. -----------------------------------------------------------------