PC Security™ - Order Information

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.

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:

Pc Security(TM) for Windows(in US$).......________  
                  (Click here for price)

WA residents add 8.6% sales tax.....________

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

Total in US$........................________

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