Product Order Form

Name:
Company:
Address:
City:		State:
Country:		Zip:
Phone:		Fax:
Email:

Retail Product	Qty.	Price	Total
FaxTalk Messenger Pro 7.5 Multiline Edition		$149.95

Shipping and Handling:	Price	Total
Shipping and Handling charges: Standard Shipping (US Orders) - $7.50 International (Canadian and non US orders) - $12.00 Sales Tax: California residents, please add 8.25% sales tax.	Subtotal:
	Sales Tax:
	Shipping:
	Total:

Payment Information
Payment Type:	Visa  |  MasterCard  |  American Express  |  Discover
Credit Card Number:
Expiration Date:
Name on Card:
Cardholder's Signature:

Prices subject to change without notice. Sorry, but personal checks are not accepted. Cashiers Checks/Money Orders are
accepted in US funds only. Any required duties are the sole responsibility of the receiver.