AutoMSW Order Form

Name:     ______________________________________

Address:  ______________________________________

City:     ________________________    State:  __

Zip Code: __________     Country: ______________

Phone:    ______________________________________

E-mail address: ________________________________

How did you obtain AutoMSW?
________________________________________________

Any improvements that you would like to see?
________________________________________________
________________________________________________

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License Fee: (choose one)                   ____
    Standard - New               $49
    Standard - Upgrade           $29
    Professional - New           $99
    Professional - Upgrade       $59

If paying by check, please make it payable to
"Beiley Software Inc.".  US funds only please.
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Please send payment to:

  Beiley Software Inc.
  1161 N. Dustin Lane
  Chandler, AZ 85226

  E-mail:  www.automsw.com/contact.html
  Phone:   (480) 705-0129  (M-F 9AM to 6PM PST)
  FAX:     (480) 705-9219

If paying by credit card please fill in the following:

Card Number:________________________________________

Circle one: Visa  MasterCard  Discover  Amex

Expiration Date (mm/yy):___/___

Security Code (CVV2) :_____

Cardholder's Signature:______________________________