UPGRADE Order Form Please complete this order form, and return it via fax, email or regular mail: Fax: 514-626-6577 |
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Current Registration Information: We are happy to offer our existing customers the opportunity to upgrade at a reduced cost. In order to benefit from this offer, you must have the username and registration code that you received upon purchasing in order to continue.
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Billing Information: |
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| Delivery Information: | ||||||||||||||||||||||||||||||||
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| *Required for delivery of username
and password by e-mail. |
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| Upgrade Information: | ||||||||||||||||||||||||||||||||
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| GST #R138344668, PST #1016811544 | ||||||||||||||||||||||||||||||||
| Credit Card Information: Please provide the following information and sign below: | ||||||||||||||||||||||||||||||||
| PLEASE NOTE THAT WE ACCEPT MASTERCARD, VISA and American Express only. | ||||||||||||||||||||||||||||||||
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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. | ||||||||||||||||||||||||||||||||
Signature:___________________________________ Date:_____________________ |
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