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Printable Order Form |
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To order by mail, print this order form, complete by printing or typing in required information, and mail with payment information. Mailing Address:
TaskWare, 18, allee des Lilas 92150 SURESNES FRANCE |
SHIP TO INFORMATION
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Company Name:
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________________________________ |
Contact Name:
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________________________________ |
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Contact Phone:
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________________________________ | ||
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Address:
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________________________________ |
Contact FAX:
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________________________________ |
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Town and Country:
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________________________________ |
Contact E-mail:
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________________________________ |
ORDER INFORMATION
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Item
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Quantity
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Unit
Cost
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Total
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| WinTask |
______
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X $249.00 |
$________
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| WinTask + 2 years upgrades |
______
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X $299.00 |
$________
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| WinTask Lite |
______
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X $99.00 |
$________
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| WinTask Lite + 2 years upgrades |
______
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X $119.00 |
$________
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| WinTask x64 + 2 years upgrades |
______
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X $399.00 |
$________
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| Other |
______
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$________
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| Media and Shipping Charges | |||
| [ ] Electronic Copy via e-mail | FREE |
$ _______
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| [ ] CD-ROM: | $40.00 | ||
| Total: | $ _______ | ||
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For EU customers, your
VAT number:
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PAYMENT INFORMATION
| [ ] Check or Money Order | ||
| [ ] Bank Transfer of Funds |
Bank
name and address:
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HSBC
22 rue des Bourets
92150
Suresnes France
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Swift
code :
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CCFRFRPP
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IBAN
number :
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FR76
3005 6006460646357167 436
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| [ ] Visa [ ] Master card [ ] American Express |
Credit
Card Number:
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___________________________ |
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Expiration
Date:
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___________________________ | |
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Security
Code (3 digits):
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___________________________ | |