![]() | Order Form | 2 Mar 1997 |
Date of Order: __________________ Purchaser's Name: _______________________________________ Company Name: _______________________________________ Address: _______________________________________ _______________________________________ Phone Number: ____________________ Fax Number: ____________________ Email Address: _______________________________________ IP Address(es): _______________________________________ (eg. 12.34.56.78) Quantity Unit Price SubTotal Development Kit: ________ x $795.00 ____________ Server License: ________ x $395.00 ____________ Floppy Disk Copy: ________ x $10.00 ____________ TOTAL ____________
All products are distributed via the Internet. You will be sent, via email, the name of a Web server, an account name and a password when your order has been processed. Floppy disk distributions are also available for a $10.00 handling fee plus shipment charges.
You may pay for your order using Visa, Mastercard, or American Express by providing us with the following information:
Card Number: __________________________ Exp. Date: _______ ** FOR YOUR PROTECTION, DO NOT SEND CREDIT CARD NUMBERS VIA EMAIL **
NetFactory also accepts checks drawn on U.S. banks, money orders or international traveler's checks as payment. Corporate purchase orders can be used to initiate shipping as well.
Please submit this form to any of the following addresses:
Email: info@netcharts.com Mail: NetFactory, Inc. 33 Wilelinor Drive FAX: 410-266-3656 Edgewater, MD 21037 ** THANK YOU FOR CHOOSING NETCHARTS **