Visual DLL Order Form

Visa/MC/Amex Accepted

To place your order, e-mail or fax us the following information


------------------- VISUAL DLL 2.1 ORDER FORM ---------------------

NAME: _____________________________________________________________

ADDRESS: __________________________________________________________

         __________________________________________________________

CITY/STATE/ZIP : __________________________________________________

PHONE: ___________________________ FAX: ___________________________

E-MAIL: ___________________________________________________________

Indicate (VISA/MC/AMEX/MO/Check): _________

Card number: ____________________________ Exp. Date: ____/____/____

If paying by check, driver's license & exp: _______________________

You may mail, fax, e-mail or call in your order. The cost of the product is $249.95. Upgrade from version 1.x is $99.95. Upgrade from version 2.0 is $49.95. Proof of purchase is required for upgrades. Nevada residents add 7% sales tax. Add $5 for shipping in the continental United States. Alaska, Hawaii and all international orders, add $12 for shipping. International orders are shipped via U.S. Mail. Alternative shipping methods must be explicitly requested and additional charges may apply. We accept Visa, Master Card, American Express, Money Order, Personal or Company checks. International Orders must be paid in US currency. Credit-card orders are processed immediately. Checks may require verification and clearance before orders are shipped. If paying by credit card, please include the card number, expiration date and the name shown on the card.

Simply Solutions
26741 Portola Pkwy., Suite 1E #185
Foothill Ranch, CA 92610-1743

Fax (213) 947-1554
http://www.simplysolutions.com   -- sales@simplysolutions.com