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Fill in this form to email your order, or click on 'Printer Friendly Version' to print the form and mail or fax it to us.  

Check Prices          Printer Friendly Version
Please fill in the information requested below and then click the Submit button.  Once your order has been
 processed, you will receive a confirmation via fax or email before your products are shipped.  Burgundy fields are required.

Bill to:

 Ship to - Same as Bill to address:  Or:
Name:               Name:              
Organization:      Organization:    
Address:            Address:          
City:                  City:                
Province\State: Province\State: 
Postal\Zip Code: Postal\Zip Code:
Country:             Country:           
Phone:              Phone:             
Authorized by:    P.O. # :            

If you'd like confirmation of your order, please supply a fax number or email address.  Thank you.
Fax : Email:

QTY

 CODE

DESCRIPTION

   PC  or Mac? *

UNIT PRICE

TOTAL
 

   

 

                                      
                                       
                                       
                                      
                                      

For your convenience, we accept the following credit cards . Check the one you wish to use and fill in all required information.  

Card Number:

Name On Card:

 Expiry Date:

*You can combine PC and Mac versions in one order to take advantage of the our volume discounts.  Simply

indicate how many of each type you require.  For example, an order for one of Code PES105 is for 5 Licenses

which could be made up of 3 PC and 2 Mac versions.

There is a $5 shipping charge for Orders totaling less than $50; for Orders totaling between $50 and $300 shipping is

equal to 10% of Order Total; for Orders totaling greater than $300 shipping is equal to 5% of Order Total. Orders outside

 North America add 15%.

Fill in the fields above and then click on the Submit button below.  When your order has been processed we will send
back a confirmation before we ship the product.

Do you have a website?  If you would like a link to your site to appear in a future version of the Picture Express web site, 

please supply the address of your site here:

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Privacy Statement:  We at Picture Express Software take our Customers' privacy very seriously.  We will never sell or 

                                otherwise distribute Client information to any party without prior explicit written approval from the

                                Customer.