Order form for Net Send Lite v3.02 - by RJL Software Inc.
Full Name:	_____________________________________________
Company Name:	_____________________________________________
Street Address:	_____________________________________________
City, State, postal code:	_____________________________________________
Country:	_____________________________________________
Phone Number:	_____________________________________________
Fax Number:	_____________________________________________
Email Address:	_____________________________________________ Most Important! We use email to communicate with you.
Product Ordered:	Net Send Lite - Single User $19.99 USD per license    Qty _________ Net Send Lite - Site License $299.99 USD per license    Qty _________
Payment Details (circle one):	Credit Card     Money Order     Purchase Order
PO Number (if applicable):	_____________________________________________
Credit Card Type (if applicable):	Visa     Mastercard     American Express     Discover
Name on Card:	_____________________________________________
Card Number:	_____________________________________________
Expiration Date:	__________________
Date / Signature:	_____________________________________________
If paying by money order, make it payable to: RJL Software, Inc. 340 Warwick Lane LITH, IL 60156
If ordering by fax, please fax this form to (847) 841-4216