Great Hill Corporation
Calendars for the Web™ - Server Version
Order Form
| Please mail this form to: Great Hill Corporation, 1142 Stony Lane, Gladwyne, PA 19035 or FAX it to (610) 519-9440. Complete all fields. |
| Indentification | |
| Full Name | |
| Company Name | |
| Mailing Address | |
| Shipping Address (if different) |
|
| Phone Number | |
| E-Mail Address | |
| Credit Card Info | |
| Full Name on Card (if different) |
|
| Billing Address of Card (if different) |
|
| Card Type (circle one) |
AMEX | VISA | Master Card | Discover |
| Card Number | |
| Expiration Date | |
| Product Choice | |||
| License Option | Number of Calendars | Unit Price | Extended Price |
| Calendar License | 1 | $149.95 | |
| Additional Calendars |
$30.00 each |
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| To Do List Option | $99.95 | ||
| Contact List Option | $99.95 | ||
| Upgrade Fee | $99.95 | ||
| Annual Technical Support | $195.95 | ||
| PA State Sales Tax (add 6% if you live in PA) |
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| Calculate Total | |||