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Please print this form and fax or mail to CalendarWiz. Your calendar will be activated upon receipt. |
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CalendarWiz, LLC
Tel:(603) 929-9592
Fax:(866) 887-5579
Web: www.calendarwiz.com
Email: sales@calendarwiz.com |
MAILING ADDRESS:
CalendarWiz, LLC
45 Lafayette Road, Suite 312
North Hampton, NH, 03862 |
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Date: __________________ |
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Select Product:
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Qty: _____$88.00 Basic Edition (3)
Categories / 25 registered users - Annual Fee |
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Qty: _____$154.00 Standard Edition (8) Categories / 50
registered users - Annual Fee
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Qty:______$249.00 Professional Edition (20) Categories
/ 100 registered users - Annual Fee |
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Qty:______$449.00
Enterprise Edition (40) Categories / 250 registered users - Annual Fee |
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$ ___________ Total
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Contact Information:
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Organization: _____________________________________________________________________
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Contact Name:
____________________________________________________________________
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Address:
__________________________________________________________________________
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City: ______________________ State: ______________ Zip Code:_________________________
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Email Address: __________________________________ Phone: (
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Website www._______________________________________________________________________
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Important!
Provide Calendar Identifier:______________________________________________
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Select Payment Method:
 Payment Method: Purchase Order PO#_________________________
Please attach Purchase
Order if available.
Payment Method: Credit Card
A receipt will be sent to the above email address upon order processing.
Circle Card: | Visa | Master Card
| American Express
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Credit Card Number: ____________________________________ Exp: Month
_______Year_______
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Name on Card
(Exactly) _______________________________________________________________
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Billing Address:
_______________________________________________________________________
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City:
____________________________ State: ____________ Zip Code: _______________________
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Signature: ___________________________________________________________________________
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Thank you for your order! |
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CalendarWiz, LLC., 45 Lafayette Road, Suite 312, North Hampton, NH, 03862 |
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