GFC Software Order Form

NOTICE: The information you enter on this form will be held in strictest confidence. It will not be sold or given away on any mailing lists. You will not receive any unsolicited "junk" faxes or Email from us.

PRODUCT(S) ORDERED:
	PRODUCT & DELIVERY METHOD *	QTY	PRICE EACH*	TOTAL

	Online Status Checker (DSLCHECK)
	delivery via email (must provide email address above) - no disk, manuals, etc.	____	10.00	________
	3.5" floppy disk with manual, etc.	____	15.00	________
	5.25" floppy disk with manual, etc.	____	17.50	________
	CD-ROM with manual, etc.	____	20.00	________
	Replacement Disks and Manuals (does NOT include registration)**
	3.5" floppy disk (only) - MR-8100 Programmer (PSCAN)	____	5.00	________
	5.25" floppy disk (only) - MR-8100 Programmer (PSCAN)	____	7.50	________
	CD-ROM (only) - MR-8100 Programmer (PSCAN)	____	10.00	________
	User's Guide (only) - MR-8100 Programmer (PSCAN)	____	7.50	________
	Registration look-up (for previously registered users ONLY)
	If you have lost your registration information, we will re-send it to you. You must specify the product name, your registration name, mailing address and email address.	____	8.00	________

SPECIAL DELIVERY OPTIONS ***
	Insurance (USA only)	ADD	1.10	________
	USPS Priority Mail with tracking number / delivery confirmation (USA only)	ADD	4.50	________
	Foreign delivery (to other than USA or Canada) - - - - - EMAIL US FOR PRICING		--- EMAIL	US ---

TOTAL PURCHASE:				________

QUANTITY DISCOUNTS are available on some purchases. Contact GFC SOFTWARE for information and to discuss your needs. If you order multiple items in one order, we will refund any quantity shipping discount which may apply.

EXPLANATION OF OPTIONS:
    * Several delivery options are offered in order to provide you with the best price/delivery options possible. Delivery via email provides the fastest delivery time, but no disk or printed manual, etc. (You may create your own disk and print your own manual.) Delivery cost of disks and manuals reflects the added cost of producing and shipping these physical items. Note that 5.25" floppy disks and CD-ROMs require additional processing and are therefore priced slightly higher.
    ** Replacement disks and manuals will always be the current shipping version. Older versions may be available, if you absolutely insist on getting an outdated version, at an additional cost. Contact GFC Software for details.
    *** Special delivery options are available to provide tracking and/or delivery confirmation for those who feel a need for such services. Generally, we do not feel these are necessary, but we offer them for those who feel the need. We cannot be responsible for lost or misdirected mail, so please choose accordingly.

All prices are in US dollars. Please make payment by check or money order in US funds payable to GFC SOFTWARE. For your own safety, do not send cash. Note that orders paid by personal checks may be delayed pending check clearance. Send this completed form along with your payment to:

NAME:
ADDRESS:

CITY:
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FAX:	EMAIL ADDRESS: