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Order Form

Please complete the form below to order any of the products. Please do not send us your credit card details over the net as this site is not secure. You may fax us an order with your credit card details if you wish. Your interest in the products and your comments are appreciated.

Shipping and handling costs are $9 (Australian) within Australia and US$12 for orders outside Australia.
Click on Submit button at the bottom of this page when ready to send
First Name:
Surname: 
Company Name: 
   
Street Address Line 1: 
Street Address Line 2: 
City
State
Zip or Post Code
Country: 
Phone Number 1::
Phone Number 2:
Fax Number:
E-mail Address:
How did you hear about us?
Company Web site (URL): 
If you do not wish to order a product now skip to the comments section.
Your Order Number is 
The product(s) you are ordering: 
Music Admin Pro 
Donations Manager 
Infirmary/Medical Database 
The computer platform you use: 
Windows  95  98  2000  ME XP
Windows NT  4.0 or higher
Macintosh  OS 8.5 and higher  Older Macs
Computer chip and model if available 
Click on Submit button at the bottom of this page when ready to send.

Comments:

Click on Submit when ready to send. Reset to start again.