Purchase Form


If you would like to order the software, please complete all fields in the form below. 

Please provide the following contact information:

Name
E-mail Address
Phone 
FAX
Organization
Title
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Work Phone
FAX
E-mail address 
Web-site address (URL)

Please provide the following computer information:

Brand of Computer
Processor / CPUSpeed
Operating System
DOS/Win Version

Please provide the following ordering information:

QTY DESCRIPTION

*plus travel and lodging expenses 

 If you are a Florida resident you must add Florida Sales Tax. Currently 7.65%

Total Amount Due 

BILLING

Credit Card

Cardholder Name (Exactly as it appears on the card)
Card Number
Expiration Date Month     Year

SHIPPING
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country

Copyright © 2000-2001 T.E.H., Inc.  

Tampa Florida   ph: 800-755-9482  Fx: 813-909-7534

  If you encounter problems with this Web site, please contact the Webmaster.
 Send mail to webmaster@Tehinc.com  about this web site.

Designed and last modified: February 12, 2001 by

 

 

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