SDI LPD Text Order Form

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: ________________________________________________