*****PackMeister Pro Mail/FAX Order**********
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Alamode						FAX to: (250)384-6462
suite 3, 257 Cook St
VICTORIA  BC  
CANADA V8V 3X4            
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*international orders: please affix sufficient airmail postage.

Registration Info [required]
*Enter name & email EXACTLY as you want it to appear in your license.

User Name:........................................

User E-Mail:......................................
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Shipping Info

Name..............................................

Address1..........................................

Address2..........................................

City..............................................

State/Prov........................................

Zip/Postcode......................................

Country...........................................
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Credit card info *Visa/Mastercard cards only please

Issued to:........................................

Card number:......................................

Exp:..........

Signature:........................................
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Payment
*AMPC members: Business check OK.
*Personal checks will delay license issue.(2 weeks to clear)
*License issued on receipt of Certified Check or International M.O.

Email License and Key.......US$90.00

Program Sent via Post.......US$90.00 +  $10.00 s&h

*************Canadian Residents*************
*  BC residents please add GST/PST         *
*  NB, NFLD & NS residents please add HST  *
*  All other provinces please add GST      *
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Total Amount

Charge My Credit Card: US$.........

     Payment Enclosed: US$.........