TOTAL Software, Inc. 9511 Hwy 5 N, #14 Alexander, Arkansas 72002-7917 (800) 951-6430

Please check the following that you wish to receive.

____  Please send MORE INFORMATION about the D/PAC Software.

____  Please send the D/PAC Software Package, I am ordering:

      ____  $1,995.00 - Single User Module

      ____  $1,200.00 - Additional Users:  ____ Users x $1,200.00 

      ____  $  995.00 - Additional Companies:  ____ Companies x $995.00

 

Check METHOD OF PAYMENT:

____  I am sending a check for the total amount purchased.  (Amount: $___________)

____  Please charge my credit card listed below.  (Amount: $_____________)

      Check one:  ____Visa    ____MasterCard    ____American Express  ___Discover

      Account Number:  ______________________________________  Expires:  ____/____

 
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Address:  _________________________________________________________________________

City:  _____________________________________ State:  _____  Zip Code:  ____________

Telephone:  _____________________________  Fax:  __________________________________

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