
ActionOutline Standard 1.6: Order form
======================================

You can find the latest information at 
https://www.regsoft.com/cgi-bin/reg_it_offsite.pl?5956

* Order by Fax

  Please fill in the form below Completely, print it out,
  and FAX it to 770-497-9234 

* Order by Mail

  Please fill in the form below, print it out, and Mail it with
  a Check or Money Order in US Dollars, made out to RegSoft.com Inc
  to: 

  RegSoft.com, Inc.
  PMB201
  10820 Abbotts Bridge Road
  Duluth, GA 30097

* Order by Voice

  Call 1-877-REGSOFT (734-7638)
  (international orders please call 770-319-2718) 
  Please include the below Product ID as well as any
  required fields below.

================================

* Product ID      5956

* Program Name    ActionOutline

* Registration    $24.95 

* Quantity        ____

Please be sure your email address is correct!
This is how you will receive your registration
confirmation.

HOTMAIL email addresses, and other email forwarding
addresses are NOT accepted. Compuserve users please
use a period (.) instead of a comma(,) 1234.567 not
1234,567.

Billing Information:
--------------------

* Email Address: 

* Name (as it appears on credit card):

* Company Name (optional):

* Address (Exactly as it appears on your statement):

* City:

* State/Province:

* Country:

* Postal Code:

* Phone Number:

* Payment Info:

  [ ] Visa
  [ ] MasterCard
  [ ] American Express
  [ ] Discover (Novus) 
  [ ] Check

* Card Number:

* Card Expiration Date: 

* Signature:
