PrintFAX.txt
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上传日期:2022-05-17
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- Serv-U Print and Fax Order Form
- RhinoSoft.com
- P.O. Box 53
- Helenville, WI 53137 U.S.A.
- Sales: +1 (262) 560-9627
- Voice: +1 (262) 560-9627
- FAX: +1 (262) 560-9628
- Please complete, print and fax this order form to +1 (262) 560-9628
- Please fax only page 1.
- Quantity:
- Unit Price:
- Sub Total:
- Sales Tax:
- (Sales Tax is 5.5% for Wisconsin Customers Only)
- Grand Total:
- NOTE: Please complete the following Customer & Credit Card
- Information, ensuring that all information is completed
- accurately. The accuracy of your email address is extremely
- important as your registration details are sent to you via email.
- First Name:
- Middle Name:
- Last Name:
- Company:
- Name to appear on license:
- Address1:
- Address2:
- City/Town:
- State/Region:
- Zip/Postal Code:
- Country:
- Phone:
- Fax:
- Email Address:
- Credit Card Type:
- Note: We accept Mastercard, Visa, American Express and Discover
- Credit Card Number:
- Expiration Date (MO/YR):
- Name on Credit Card:
- Alternative Payment Method:
- NOTE: If you wish to place your order and utilize an alternative
- payment method, please leave the credit card details blank and
- enter Check/Money Order, Purchase Order or Telegraphic Transfer.
- Please be advised that you will not be issued registration details
- until payment has been received. An additional $45 must be
- added for Telegraphic Transfers.
- Serv-U includes free email technical support and free
- upgrades for a period of one year from the date of purchase.
- To purchase additional tech support and upgrade protection,
- please call RhinoSoft.com at +1 (262) 560-9627.