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Order Information

When you order Keyboard Monitor we send you the program attached to an email (140 KB).
You can also decide to receive the disk package through snail mail for an extra $7.00 S/H

Have the following information ready:

Name:     ______________________________________________

Company: ______________________________________________

Street:  ______________________________________________

         ______________________________________________

City:    ______________________________________________

State:   _________                     ZIP: ____________

Country: ______________________________________________

Telephone Number: _____________________________________

E-Mail:  ______________________________________________

Credit Card: [ ] MasterCard, [ ] VISA, [ ] AMEX, [ ] Discover

Credit Card Number: ___________________________________

Expiration Date: ______________________________________

Name on Card: _________________________________________

Signature:   __________________________________________

Comments/Suggestions: _________________________________

_______________________________________________________


Price:

Keyboard Monitor(TM) (in US$)..........________  (Click here for price)

WA residents add 8.6% sales tax...________

Shipping and handling............ _________  (optional $7.00)
                                 ============

Total in US$......................_________

To order by credit card:
The easiest way of ordering by credit card is through our secured on-line order page. Your credit card information is fully protected.
To order now, please click here!

To order by fax:
You can fax this order form and credit card information to (603) 299-0344.

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