Contact Your Client - Order Form

Options:	LEASE OPTION: $0 down, monthly payments of 49.97 charged every month cancel anytime includes: Video Training + Unlimited E-Mail Support + Specillay Priced Live Support. You can later switch to a purchase and the first three payments you made, will be credited towards the purchase. SPECIAL PURCHASE OPTION: $999.97 One hour free Live Support + Video Training + Unlimited E-mail Support + Specially Priced Live Support + . Optional: NETWORK SEATS: Purchase (qty) at $499.97 each or Lease (qty) at $49.97 per month. COMPANIONS: Purchase (qty) at $499.97 each or Lease (qty) at $49.97 per month.
Credit Card Type:	Visa MasterCard Discover American Express
Cardholder Name:
Credit Card Number:
Exp Date:
CVV: (security code)
Billing Address: (where statements are received)
City:
State:
Zip:
Phone #:
Email:

Options:	LEASE OPTION: $0 down and then, monthly payments of 49.97 charged every month cancel anytime (includes video training and reasonable unlimited live phone support). You can later switch to an installment purchase and the down payment, along with the first six payments you made, will be credited towards the purchase. SPECIAL PURCHASE OPTION: $999.97 One hour free Live Support + Video Training + Unlimited E-mail Support + Specially Priced Live Support + . Optional: NETWORK SEATS: Purchase (qty) at $499.97 each or Lease (qty) at $49.97 per month. COMPANIONS: Purchase (qty) at $499.97 each or Lease (qty) at $49.97 per month.
Bank Name:
Bank Address:
Bank City:
Bank State:
Bank Zip:
Bank Phone Number:
Account Holder Name:
Account Number:
Routing Number: (9 digits)
Account Holder Address: (where statements are received)
City:
State:
Zip:
Phone:
Check Number: (for your own records)
Email: