To order by fax, use the following form.  You can type in most of the information directly, which saves you time and keeps the information legible through the faxing process. When you have completed the onscreen portion, print the form and write in the remaining information (Quantity, Subtotal, Total, Date and Signature). Then fax the completed form to the fax number at the bottom of this document.
 
  Order Details
SKU ID Product U.S. $ Qty. Subtotal
SKU3718954006 MacScan
 		$24.95
Total:  
 
  Please type your information into all areas that allow text entry.
Then print this form and write in the remaining information.

Billing Information
First Name:  Last Name: 
Company Name: 
Address:
    
    
City: 
State:  Postal Code: 
Country:  Phone: 
Coupon: 
VAT ID: 

Credit Card Information
Check credit card type:
Visa MasterCard Discover American Express
Card Number: 
Three- or four-digit security code, separate from the card number, typically on the back of the card:
Expiration Date: 
Date: Signature:

E-mail address to receive your registration/download instructions
E-mail address: 

Faxing Instructions
eSellerate for MacScan Spyware Detection for the Macintosh .
Fax:
U.S.: 402-323-6611
Intn'l: (+1)402-323-6611

By faxing this completed form to eSellerate, you are placing an order with MacScan Spyware Detection for the Macintosh .

Standard hours of operation are
9 a.m. to 5 p.m. CT Monday-Friday.
(current time: 12:11 AM CT )

eSellerate is the e-commerce provider for MacScan Spyware Detection for the Macintosh . Should you have any questions, you may contact us at:

support@esellerate.net