Mail in / Fax in Order Form

Online Orders please visit:
http://www.onlinepressreleases.com/onlinepr/order.shtml

To order Press Releaser Pro! offline, please complete the following form and send it to:


Mail to:
JDE Internet Publishing, Inc

PMB #5289
2711 Centerville Road, Suite 120

Wilmington, DE 19808

Fax: 617-249-0604 (24 hours.)
Call: 617-249-0604 (weekdays 9:00am-5:00pm Pacific Time)
E-Mail:
sales@onlinepressreleases.com

1. Enter your name, shipping address and telephone number below:

Name   __________________________________________________


Company:  __________________________________________________


 Address:  __________________________________________________
 
  City:  ____________________ State: _________ Zip: __________


  Country:  __________________________________________________


  Telephone:  _____________________ E-mail: ______________________

I heard about Press Releaser Pro from: _________________________________________

2. Indicate the number of units and shipping method below:

___  Press Releaser Pro for Windows 95/98/2000/NT @ $ 159.95 ea. $_________
___  Press Releaser Pro database Update    @ $ 29.00 ea. $_________



TOTAL                $_________


3. Indicate the payment method below:

___  I've enclosed a check or money order payable to WebGrip Inc.
  (checks must be drawn in U.S. funds on a U.S. bank)
___  Please charge to my credit card:
  (Please include credit card billing address if different than shipping address above)

___ VISA ___ MasterCard ___ Discover ___ American Express


Card number: ___________________________________ Expiration date: ________

Cardholder's signature:  ____________________________________

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