D-Coder Order Form

Company Name

Address

City and State

Phone Number

Zip   

Fax Number

E-Mail Address

Programs

Single D-Coder License $199

Add'l Licenses at Same Site $89/ea.

Unlimited Site License $499/site

Delivery Method

Overnight Service $30 (Continental U.S.) $50 (AK/HI)

      For same-day shipping: orders must 

      be received by 2:00 p.m. PST

Email Installation files $25

      + Ground shipping (CD & Manual)

Ground Shipping - No Charge

Payment

VISA

MASTERCARD      Check or Money Order

Card number:

      Expiration Date:

This software is copyrighted by Devco Software, Inc. It is for the use of the above licensee only and cannot be copied or re-sold. Devco Software, Inc. makes no warranty with regard to the use of the software. The licensee assumes all responsibility for the application of the software.

Signature:

_________________________

________

Print Name:

Print the form and fax it to (541) 757-9885