Please print this form and fax or mail it to us.
OfficeCAD
2120 Ellis St
Bellingham WA 98225 USA
Tel: 360-733-1733
Fax: 360-671-0458
Shipping Information:
| Name: | _______________________________________________ |
| Company: | _______________________________________________ |
| Address: | _______________________________________________ |
| Suite or floor: | _______________________________________________ |
| City: | _______________________________________________ |
| State: | _______________________________________________ |
| Zip Code: | _______________________________________________ |
| Phone: | _______________________________________________ |
| Fax: | _______________________________________________ |
| Email: | _______________________________________________ |
Billing Information
(if different than shipping information):
| Name: | _______________________________________________ |
| Company: | _______________________________________________ |
| Address: | _______________________________________________ |
| Suite or floor: | _______________________________________________ |
| City: | _______________________________________________ |
| State: | _______________________________________________ |
| Zip Code: | _______________________________________________ |
| Phone: | _______________________________________________ |
| Fax: | _______________________________________________ |
Products and pricing:
OfficeCAD $295.00 Single Workstation Version Introductory Price
| Quantity: | ____________________________________ |
| Total Price: | ____________________________________ |
Software Total:________________________________________________
Shipping:
| UPS Ground $15: | _________________________ |
| UPS 3-Day Select $20: | _________________________ |
| FedEx 2-Day $15: | _________________________ |
| FedEx Overnight $20: | _________________________ |
| Canadian Shipping $45: | _________________________ |
| International Shipping $65: | _________________________ |
Shipping Total:________________________________________________
Total Payment (software + shipping):_______________________________
Payment Method:
VISA_____ MC_____ AMEX_____ CHECK_____
Name, as it appears on credit card:
_____________________________________________________
You can phone us with your credit card
number if you do not wish
to send the number on this form.
Credit Card Number:__ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __
Exp. Date: __ __ /__ __ (mm/yy)
Thank you for your order.