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seaBILL Co. Special FAX Discount

Discounts apply to online FAX Orders using this form!

To place your new order by FAX, Print and complete THIS form. Then, FAX it to:

seaBILL Co. (267) 295-8002

PLEASE NOTE: You MUST use this form to receive the online discount prices. Use of ANY other form will not work.

CLICK HERE to Print This Page


STEP ONE: Download and install the program(s) you want to order. (*See the note below if you don't want to download now.)
Start the program(s) and copy the serial number from the upper right of the first screen.

*Note: If you don't want to download  now, simply complete the order form. In the space for your serial number, indicate your preference to install the product from the CD. We'll send you a CD from which you can install the program(s) and receive your password by email. We will send a CD whether you have downloaded the program or not. Downloading allows you to begin using the product immediately without waiting for the CD to arrive.


STEP TWO: Complete the following:

Name:__________________________________________________________

Firm Name:_____________________________________________________

Address:_______________________________________________________

Address:_______________________________________________________

City:_______________________ State:__________ Zip: ________________

Phone:____________________________ FAX:___________________________

EMail:_________________________________________________________

Serial Number (upper right FIRST screen):__________________________________________________________________

Send Password to:   _____Email         _____ FAX         _____Address     (check one)

ORDER INFORMATION
Circle the program name and any options. Complete any applicable price blanks and the Total

BSA Pro $299.95 Conflict Checker $299.95

10 Biller Codes (+ $100) _______ Networking Option (+$249.95) _______

Add Biller Codes (+ $100 per 10) _______ SHIPPING/HANDLING FREE

Networking Option (+ $249.95) _______ TOTAL _______

Quicken/QuickBooks Links (+ $59.95) _______

Palm Link (+ $99.95 per user) _______

Shipping/Handling FREE    

TOTAL _______    

PAYMENT INFORMATION

Credit Card Type:       _____ VISA          _____ Master Card           _____ American Express (check one)

Card No. ________________________________________________ Exp. Date: _______________

Card Holder's Name: ________________________________________________________________

"I hereby authorize the above amounts to be charged to the credit card shown. I agree that all purchases are final and that refunds will not be granted once a password is issued by seaBILL Co. I further agree to the terms of the seaBILL Limited Use License Agreement."

Date: ________________                     Signature: ____________________________________________________________


STEP THREE:

Review your order and FAX it to: (267) 295-8002