Print this form using the print function in your web browser.
Note that orders submitted via this order form are processed manually.
There is a small surcharge (US$35) for orders less than $300 in value submitted by this order form.
You can avoid the surcharge by ordering via credit card or increasing your order to at least $300.
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 7/Vista/2008/2003/XP/2000/NT/ME/9x | ||
| _______ | Quantity (Enter the number of copies you wish to order | |
| _______ | Unit Price | Price per copy. See the SDI LPD Price List. |
| _______ | Subtotal | Unit price * quantity |
| _______ | Maintenance Plan | 15% of purchase price ($100.00 minimum) |
| _______ | Processing Fee | $35.00 on orders < $300.00 |
| _______ | Total Price | |
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: ________________________________________________