Order Form

Billing and Shipping Information:

Name:
Company:
Address1:
Address2:
City, State, Zip:
Phone:
Email address:

Licensing Information:

The licensee must be a person and not an agency. Please provide the name and company of the licensee. This information will be embedded in the program and will appear on the reports so please ensure that the information is clear and not too long.

Name:
Company:

Products:

If you are ordering upgrades, please use the comments field to let us know the serial numbers of the programs you are upgrading. Please select the programs you would like to order, and make sure you enter the quantity:

Product	Qty	Unit Price	Ext Price

	Subtotal:
	Discount:
	*Shipping & Handling
Click here if you live in	Sales Tax:
	Grand Total:

*For international orders, please contact us for shipping costs. Also, note that you will be responsible for any customs fees, duties or additional taxes.

Payment Information:

	BILLING
Credit card
Cardholder name
Card number
Expiration date

Comments or Notes:

After completing this order form, print it to a PDF file (or similar) and email it, or print it and fax it to (877) 334-0905 or (603) 218-6915.

Instructions

To order ARSoftware products, please complete this form, print it to a PDF file (or similar) and email it, or print it and fax it to (877) 334-0905 or (603) 218-6915. Click here for current prices & discount information. Click here for a page where you can download each of the programs.