FAX Order Form
Duckware
8092 Roaring Creek Ct
Kissimmee, FL 34747
Fill out this form, print it out,
sign below
, and fax to
1-801-681-8893
.
Instructions on how to download the registered software (if applicable) will be promptly e-mailed to you.
Software license to purchase:
(
details
)
(select license)
---------- Virtual Tour Software ----------
PMVR - personal use ($29.95)
PMVR - business use ($99.95)
---------- Shareware ----------
AutoRun SlideShow - personal use ($29.95)
AutoRun SlideShow - business use ($99.95)
---------- Java Tools ----------
JexePack - business use ($99.95)
Jobfuscate - business use ($99.95)
---------- Affordware ----------
PrintEnvelope - affordware license ($19.95)
PhotoFinder - affordware license ($19.95)
WinOpen - affordware license ($19.95)
---------- Donations ----------
Donation - nx101.com ($10.00)
Donation - nx101.com ($20.00)
Donation - nx101.com ($30.00)
Donation - nx101.com ($40.00)
Your name:
Your e-mail address:
Credit Card Payment Information
Name and
Billing
address:
Credit card number:
(with spaces)
CVV Number:
Need help finding the CVV number?
Type:
VISA
MasterCard
AMEX
Expiration:
(MM/YY)
Card holder signature:
