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Please print and complete this order form, then send back to Software Innovations Inc using the contact information at the bottom of this page.

Name:
Company:
Address 1: (no P.O. Boxes please)
Address 2:
Email Address:
City: State: Zip:
Country: Tel: Fax:
Product Price Quantity Amount
SI_SCOPE DOS $179.95 _______ _______
SI_SCOPE Pro DOS/Win $219.95 _______ _______
SI_SCOPE Electronic Download $189.95 ______ _______
Electronic Upgrade to SI_SCOPE Pro 4.0 for users of SI_SCOPE and SI_SCOPE Pro ver 3.X

Serial#:

$99.95 _______ _______
SI_SCOPE 5' Cable Extender $10.95 _______ _______
Active Cable $49.95 _______ _______
SI_COMM 32 Bit ActiveX Electronic Media (CD-ROM Format) $189.95 _______ _______
SI_COMM Upgrade $89.95 _______ _______
2 Port PCMCIA Card $199.95 _______ _______
2 Port ISA Board $99.95 _______ _______
Shipping and Handling: U.S.$10, Canada $30, International $55 S + H: _______
Total: _______

Payment Type

__ Check enclosed (Must be drawn on U.S dollar account and payable to Software Innovations Inc.)
__ MasterCard __ VISA __ American Express Expiration Date:_____/_____
Card# . . . . . . . . . . . . . . . .

Card holder name and billing address (please print):

Name:
Company:
Address:
City: State: Zip:
Signature:

 

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Copyright © 1999-2007 Software Innovations, Inc.
This page last updated on 03/04/2007