Order Form


Send To:
CyberMatrix Corp.
P.O. Box 76081
240 70 Shawville Blvd SW
Calgary, AB T2Y 2Z0
Canada
Fax: 1-866-425-2670

Name: _________________________________________

Company: _________________________________________

Address: _________________________________________

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Ship To: _________________________________________

_________________________________________

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(For credit card orders the name and address must be exactly the same as they appear on your credit card and statement.)

Phone: _________________________________________

Email: _________________________________________


[All prices in U.S. Dollars.]

Registration details

___________ single license $100
___________ additional license $30
___________ 10 users $300
___________ 25 users $600
___________ 50 users $1000
___________ 100 users $1500
___________ Site License $2500.

___________ Send program by postal mail on CD - $5 ($10 registered)
___________ Send program by courier - $25 ($50 outside North America)
___________ Send registration code by e-mail - FREE (Make sure to include e-mail address.)

___________ Use bank funds transfer - $10 (only for orders under $300)

___________ Total

Payment method

[ ] Check
[ ] Money Order
[ ] Visa - Card #: ______________________ Expire Date: ___________
[ ] Mastercard - Card #: ______________________ Expire Date: ___________
[ ] Discover - Card #: ______________________ Expire Date: ___________
[ ] Amex - Card #: ______________________ CID #:___________ Expire Date:___________
[ ] Purchase Order: ______________________
(For P.O.'s please fax your standard credit references form to 1-866-425-2670.)

Where did you hear about Pro Schedule?

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