To order your selected Proven Software products, simply print out this order form,
fill it out completely (all entries are required), and fax it to (315) 682-1142

NAME:

_______________________________________________

COMPANY NAME:

_______________________________________________

SHIP TO STREET ADDRESS:

_______________________________________________

SHIP TO CITY, STATE, ZIP:

_______________________________________________

PHONE NUMBERS:

_______________________________________________

FAX NUMBERS:

_______________________________________________

EMAIL ADDRESS:

SELECT PRODUCTS:

SHIPPING COSTS:

TOTALS:

_______________________________________________

_____Proven Choice $499.00 USD

_____Proven dk: $99.00 USD

_____Email Shipment -- FREE

_____By Standard Courier to U.S. Addresses $15.00 USD

_____By Standard Courier to Canadian Addresses $20.00 USD

+

=

$__________

$__________

$__________

Subtotal of Product

Subtotal of Shipping

Grand Total (All Prices USD)

IF PAYING BY CHECK:

IF PAYING BY CREDIT CARD:

TYPE OF CREDIT CARD:

Send this form, along with check for the grand total of your order to:

Proven Software, Inc.
P.O. Box 476
Manlius, NY 13104-0476

Fill out the following information and fax form to (315) 682-1142

____VISA ____MASTERCARD ____AMEX

CREDIT CARD #:

_______________________________________________

CARD EXPIRATION DATE:

_______________________________________________

NAME ON CARD:

_______________________________________________

SIGNATURE:

Signature acknowledge that purchaser has read and agrees to all terms of the license agreement and agrees to pay the total amount according to card issuer agreement.

________________________________DATE:_________

To order your selected Proven Software products, simply print out this order form,
and fill it out. If paying by check, mail to: Proven Software, Inc., P.O. Box 476,
Manlius, NY 13104-0476. If paying by credit card, fax to: (315) 682-1142

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