PERFECT SOFTWARE'S ORDER FORM
Place your order below, making sure to fill in all appropriate fields.
A confirmation of the order received will be emailed back to you.

Date:
Dealer Code:
Dealer Name:
Customer Code: (or select below if this is a new customer)
New Customer
Invoice To:
   Co. Name:
   Address
   City, State & Zip    
   Bill To Attention:
   Telephone:
Ship To:
   Co. Name:
   Address
   City, State & Zip    
   Ship Attention:
   Telephone:
Qty  Module Module Type Disk Size

Ver. #

 Type of Sale Price

AMP 

Sales Tax

Delivery

Grand Total      $

Payment Options (No net terms for new customers)
Name on C.C
Credit Card #       Exp.

Comments:

PC PRICING

 PASSWORDS
AS/400 PRICING COMPANION PRODUCTS
IMPROVEMENTS SALES TIPS
DEALER PROGRAM PROMOTIONS
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