Fill out this form, print it from your browser, and fax your order (Visa/Mastercard orders) to 800-764-4472 or mail your order (Visa, Mastercard, cheque/money order) to:

EXPORT DATA MANAGEMENT SERVICES INC.
51 Elgin St. W.
Suite 300
Brighton, Ontario
K0K 1H0
CANADA

1. Indicate the quantity of each product you wish to order:

(The total will be generated automatically. A Javascript-enabled browser is required).

ITEM Quantity
ExportDoc Single User
x $1,499.95
ExportDoc 2 User
x $2,499.95
ExportDoc 5 User
x $4,999.95
ExportDoc 10 User
x $5,999.95
Annual Maintenance
x $150.00
SUBTOTAL
$
**HST (Ontario only)
$
**GST (Canada only)
$
GRAND TOTAL
$

** CHECK ONLY IF APPLICABLE

All prices in U.S funds.
Prices subject to change without notice.

  

2. Tell us how you are paying for the order:

Visa
Mastercard
Cheque/money order, enclosed, payable to:
EXPORT DATA MANAGEMENT SERVICES INC.

Card Number
Expiry Date / (mm/yy)
Cardholder Name
Cardholder Signature ____________________

3. Tell us where to send the order:

Company:
Attention of:
Email:
Street Address:
Unit/Suite:
City:
State/Province:
Zip/Postal Code:
Country:
Telephone:
Facsimile:

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