MassPlus Software License Secure Order Form

     MassPlus Software

        Electronic delivery only.  Items preceded by an asterisk * are required to be  filled-in.

        Please indicate desired quantity.

QTY	DESCRIPTION	Price @
	MassPlus XG 4.0 and MassPlus Classic 2.2 bundle single-user licenses	$99
	Upgrade  to MassPlus XG  4.0  and MassPlus Classic 2.2 bundle single_user licenses	$79

 Sales tax of 9.25% will be added to California orders.              

If you are upgrading, enter existing serial numbers below:

Serial numbers and authorization codes will be sent to you via email. There is no physical shipment of the software.  Therefore there are no charges for shipping and handling.

	PAYMENT
*Credit Card	VISA MasterCard American Express
*Cardholder Name
*Card Number
*Expiration Date MM/YY

        Please provide the following end user information:

*First Name
*Last Name
Middle Initial
Title
Organization
*Street Address
Address (cont.)
*City
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Province
*Country
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FAX
*E-mail
*Today's Date
Website