To order by fax: Just print this form, fill in your contact and credit card information and fax to 604-522-3972.
To order by mail: Just print this form, fill in your contact information and credit card information, or enclose payment in U.S. dollars, and mail to:
IMPORTANT:
| Contact Information | |
| Name | |
| Company or Institution Name (optional) | |
| Address (required for credit card verification only) | |
| Fax Number | |
| Email Address | |
| Please send me the access code by: | ___Fax ___Email |
| Order Information | |||
| Description | Quantity |
Unit Price |
Total |
| DesignWorks Lite for Windows | $39.95 |
||
| DesignWorks Lite for Macintosh | $39.95 | ||
| Payment Information | |
| Please circle one: Payment Enclosed -- Visa -- MasterCard -- American Express | |
| Credit card number | |
| Credit card expiraton date | |
| Name on credit card | |
| Signature (credit card orders only) | |
Feel free to mark any necessary changes on this form if the preprinted information is not appropriate. Contact us by email at info@capilano.com if you have any questions.