SDI LPD Text Order Form

Print this form using the print function in your web browser.
Send the completed form to:
Fax : 509 691 7484  E-mail : sales@sdisw.com

Address: SDI USA; P. O. Box 5801; San Mateo, CA 94402

Customer Information:    
Date: ______________________________________   Where did you hear about SDI LPD:
Name: ______________________________________   ___________________________
Company: ______________________________________   ___________________________
Address: ______________________________________   ___________________________
City, State, Zip: ______________________________________   Comments:
Country: ______________________________________   ___________________________
Telephone: ______________________________________   ___________________________
E-mail: ______________________________________   ___________________________
       
Product Information:
SDI LPD for Windows 9x/ME/NT/2000/XP/2003/Vista
Quantity  Description
____  SDI LPD
____  Upgrade (For current users upgrading to a new release)

Compute Price:
SDI LPD printers times the price per printer.
See the SDI LPD Price List for pricing information.		 ________
1 year product maintenance
1-50 printers, optional ($100.00 minimum)
100+ printers, required		 ________
Total ________

Payment Information:
___  Purchase Order   Purchase Order Number:_____________________________
___  Wire Transfer Wire transfer reference number: ______________________
___  Check Check attached.

BY SIGNING THIS FORM YOU CONFIRM THAT YOU HAVE READ AND AGREE TO ALL TERMS AND CONDITIONS OF USE IN THE SDI LPD License Agreement and Maintenance and Technical Support Agreements.

Signature: ________________________________________________