Client Software International ® Fax Order Form
Please complete the form below, print and then fax to 61 2 9460 0781. All fields are required.
Contact Details
First Name:
Last Name:
Company:
Street:
City:
State:
Zip Code:
Country:
Phone:
FAX:
E-mail:
Order Details
Unit Cost
Qty
Totals
iTunnel single server license
$US6650
WinCom Explorer single user license
$US130
WinCom Explorer SSH single user license
$US175
WinCom Vista single user license
$US175
WinCom Vista SSH single user license
$US220
WinCom for XP single user license
$US130
WinCom for XP SSH single user license
$US175
WinCom 2003 single user license
$US175
WinCom LPD Total single user license
$US40
WinCom FTP single user license
$US25
TOTAL
Version Information
Please complete this section if you already have existing licenses and wish to order more copies of the same version. This information can be obtained by opening the application and clicking Help/About.
Product and Version
Payment Details
Name on Card:
Credit Card Type:
Visa
MasterCard
American Express
Card Number:
Expiry Date:
Format mmyy
Security Code:
Amex only
Copyright © Client Software 2005
