Fax Order Form

You can place your order by fax with our reseller, Kagi at any time. Please direct all pre-sales and technical questions to send email to

Product Description	Price	Quantity
JExpress	$499
JExpress Custom Native Source(see note #1)	$499
Extend Annual Updates for JExpress	$199
Renew Annual Updates for JExpress	$398
Annual E-mail Support for JExpress	$299

         ¹ You must have purchased at least one license to JExpress for each source license you purchase.

 

All orders without valid e-mail addresses will be canceled.

If you are outside the US, you cannot use a free/anonymous email address. For more information on this policy, consult Kagi's anonymous e-mail FAQ.

E-mail Address:

Full Name:

Company Name:

Postal/Street Address:

City:

State/Province:

Country:

 

All of the credit card information below must match data on file with the card company.

Card holder's name on card:
Billing Street Address:
Billing Zip/Postal Code:
Credit Card Number:
Expiration Date (mm/yy):
Security ID:
Payment method:	______ Visa ______ Mastercard ______ Eurocard ______ American Express ______ Discover ______ Optima ______ Diner's Club ______ Carte Blanche ______ JCB

  

I authorize Kagi to charge my credit card for US$____________________________________.

 

 

Card holder's signature:

_____________________________________________________________