McHenry Software Order Form

McHenry Software, Inc. m-smac/m-edit Order Form

Please check appropriate lines and total:

_____ First Year License Price $2000
_____ Additional company/organization Licenses.Price $1000
_____ NC residents ONLY: add 6% sales tax
_____ Normal shipment method is 2nd day air. If you want overnight express shipment add $20.00 per License.
$_________Total in US funds

(Please Note: a license renewal/maintenance fee of US$500 per license is charged on the 1st anniversary of the order date and each anniversary thereafter ( For additional licenses, see Company/Organization multiple Licenses Information))

Name:___________________________________________	Date:________________
Organization:_____________________________________	Phone: (___)_____________________
Address1:________________________________________	Fax: (___)_______________________
City,State,Zip:____________________________________	e-mail: _________________________

If additional License for company/organization, please list all additional Licensee names:
____________________________________________________________________________________

Installation and/or use of our software is subject to acceptance of the McHenry Software License Agreement and Limited Warranty which is shipped with the software.

____Check here if you would like to receive the McHenry Software License Agreement by FAX prior to shipment.

If a Mastercard/VISA Order:

Please enter MasterCard/VISA Number: __ __ __ __- __ __ __ __- __ __ __ __- __ __ __ __

Expiration Date: __ __ / __ __

Signature______________________________________________

Name on Credit Card:________________________________________

Billing Address for Credit Card (if Different than ship to)

Address: __________________________________________________

City,State,Zip,Country: _____________________________________________

Print this Form, fill out, sign and:
BY MAIL: send completed form with check, money-order or MasterCard/VISA Information to:

McHenry Software, Inc.
103 Brady Court, Suite 200

Cary, NC 27511 USA
(919)-468-9266

BY FAX: send completed form with MasterCard/VISA Information to: FAX Number (919)-469-5299

Installation and/or use of our software is subject to the McHenry Software License Agreement and Limited Warranty. Upon request we can fax a copy of the License Agreement for your review and approval prior to shipment of the order. Note that once an item is shipped, a shipping and handling fee of $100. will apply for any canceled or returned orders.
Orders will be shipped on a first come/first serve basis. Please include e-mail address and/or fax number with orders and we will confirm receipt of order. Orders are normally shipped on the same day as order via 2nd day air. (If received by 3 PM EST M-F).

(please note that your identity and all information provided on this form is considered confidential by McHenry Software, Inc. and will not be disclosed)

If you have any questions or feedback we can be reached by e-mail at McHenry@mchenrysoftware.com
Thank you for your interest in McHenry Software, Inc.

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