RegNet FAX Order
To: RegNet
21200 Trumpet Drive #201
Santa Clarita, CA 91321-4441
FAX number: +1 (661) 288-1867
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Items to Order (please put a number in the box)
AGIS for Windows Registration (Product #2001) (Unit price: US$49.00)
AGIS for Windows Mapserver for a web site (Product #2996) (Unit price: US$125.00)
AGIS Map of the World CD ROM (Product #2049) (Unit price: US$42.00 + US$5.00 p&h)
Credit Card Information
| Type (circle) | Visa MasterCard AMEX Discover EuroCard
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| Total dollar amount | US$
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I authorize RegNet to bill my credit card and agree to pay
the total amount according to my card issuer agreement.
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Signature & Date
Updated 6 January 2004