Fax Order Form for:
FIA's
Song and Artists Tracking System
(SWREG # 94271726362)
Send this form to your printer
and fax your order to one of the numbers below.
To order by fax using a credit card, please print out this document, complete
it and fax to Soft Shop.
| North America: (888) 761-8826 toll free or else (978) 336-0331 |
UK 01297 553366 Finland 0925 360011 Switzerland 0127 42077 New Zealand 09 3531352 Ireland 09 3531352 |
Netherlands 0208 845094 France 0153 010904 Australia 0294 754008 Germany 0441- 8009935864 Italy 0295 441197 |
| The following numbers are for manually dialled fax machines only. When asked for the receiving number enter 441297553366 - do not leave voicemail messages please. Please allow one or two working days for faxes to be collected. | ||||
| China: Beijing 010-852 82210 |
China: Ghuang Zhou 020-86641227 |
Hong Kong 0285 99000 |
India: Mumbai 022-3051875 |
India: Gandhinagar 027-1238301 |
| India: Surat 0261 671540/1 |
India: Baroda 0265-335224/40 |
Japan 03-3319-2007/1012 |
Malaysia 03-632 2897 |
Singapore 02765071 |
| Taiwan 0287 800374/5/6/7 |
Shanghai 21-545 91541 |
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Ship-To Name & Address:
| First & Middle
Name: |
Last Name: |
| Company Name: | |
| Address:
|
|
| Phone + Fax | |
| Your email address - in capitals: | |
| Card number (MC,
Visa, Amex, Discover, Switch, Delta, Eurocard, Diner's): |
Expires- Month:
Year::
Start Date (Diners only): |
Credit Card Holder's Name & Address for verification: Do NOT enter the BANK's name or address in the fields below. Enter the address where the cardholder receives the statements. (Only fill out the spaces below if the credit card holder's name or address is DIFFERENT from the Ship-To name and address entered in the spaces above.)
| Name on the card: |
Company name: |
| Address: (if different to above)
|
|
Order Details
| Item |
Price |
Quantity |
Subtotal |
| Single User $59.00 |
$US |
||
| 5-User License $159.00 |
$US |
||
| 10-User License $399.00 |
$US |
||
|
Fax handling fee: |
$3 |
1 |
$3 |
|
Shipping and handling: |
$US |
1 |
$5 |
|
Total Order Amount in US Dollars |
|||
| Card holder will pay card issuer above amount pursuant to cardholder agreement | Signature: ___________________________________________________________________ |