Alternate Secure Order Form

Billing Information

* NOTE: All highlighted fields are required to process your Order.

Name - (First, Middle, Last):
E-mail Address:

Please note: In order to prevent possible credit card fraud, the address information below will be verified. Please be sure that this information is correct to avoid unnecessary delay.

Street Address:
City:
State/Province:
Country:
Zip/Postal Code:

Telephone Number:
Fax Number:

Payment Information

I wish to pay by:	Visa MasterCard American Express Discover
Credit Card Number:
Expiration Date:

Please confirm my order by: e-mail telephone fax

Items Ordered

Items (e.g. "1 Systran Professional - Spanish")

Price

Additional Order Information:

Cart Code:

For greatest convenience, simply leave the "Standard" shipping option selected. We have shipped orders everywhere from Canada to New Zealand and we'll get your order to you quickly and economically. If you have special shipping needs, please read the shipping notes applicable to your order and choose from the appropriate list below. If you want another option, such as shipping via your account number, choose "other" and specify in the comments area below or contact us. To arrange order expediting or other special shipping requirements, please place your order by phone at 1-800-772-2456.

Domestic Orders: Standard UPS Ground USPS Priority Other (specify) N/A- foreign
For standard shipping to US residential addresses (best choice for most customers), simply leave "Standard" selected above. Click above for other options.

International Orders: Standard USPS International Private carrier Other (specify)
For standard shipping to foreign addresses (best choice for most customers), simply leave "Standard" selected above. Click above for other options.

Shipping Address (NOTE: Only if different from the Billing Address above.)

Name: (First, Last):
Street Address:
City:
State/Province:
Country:
Zip/Postal Code:

Additional comments (include shipping details if necessary):

Review and Send Order

Review your order now if you wish:
Contact Information - Items - Shipping Information - Payment Information