Order Form
e-motional.com software, a division of
Esm Software
Mail: Esm Software | P.O. Box
175 | Kirkland, Quebec, H9H 0A3 | CANADA
Fax: 514-626-6577
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| Billing Information
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Name:
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Company:
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Street:
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City,
State/Province,
Zip/Postal Code:
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Country:
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| Mailing Information:
(if different from above) |
Name:
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Company:
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Street:
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City,
State/Province,
Zip/Postal Code:
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Country:
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| Contact Information: |
E-mail
Address*:
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Phone Number:
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| *Required for delivery of username
and password by e-mail. |
| Product Information: |
Product Name
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# Users
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Unit Price
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Total Price
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| Sub-total: |
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Canadian Federal Tax (6% GST--Canadian residents only): |
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Quebec Provincial Tax (7.5% PST--Quebec residents only): |
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Shipping:
1) Free for software orders(registration code sent by email)
2) For orders of "TSL-PRO/PROXIMITY" hardware only:
shipping cost to be added based on your location:
$10 for Canada/US; $20 Europe/Australia/South America
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| Total: |
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| GST #R138344668, PST #1016811544 |
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| If paying by credit card, please
provide the following information and sign below: |
| PLEASE NOTE THAT WE ACCEPT
MASTERCARD, VISA and American Express only. |
Credit Card
#:
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Expiration
Date:
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| I authorize e-motional.com software,
a division of Esm Software, to bill my credit card and agree to pay the total
amount according to my card issuer agreement. |
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Signature:______________________________________
Date:_____________________
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| Pricing: |
Password
Protected Security Utilities:
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"Transparent Screen
Lock" (for WinNT/2K/XP/2003): $24.95
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"Transparent Screen
Lock PRO" (for WinNT/2K/XP/2003): $49.95
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Upgrade from TSL to
TSL-PRO: $24.95
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"TSL-PRO/PROXIMITY"
Proximity Sensor hardware option for TSL-PRO (for Win2K/XP/2003): $129.00
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"Password Lock
Transparent Screensaver Utility" (for Win 95/98/ME): $19.95
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Unlock Administrator (for
Win2000/XP/2003): $39.95
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