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Source Insight Secure Order Form

If you are a reseller, please email your purchase order to sales@sourceinsight.com, or fax to 1-425-557-3631.

1. Choose Product Quantity

Please enter the number of licenses you wish to purchase on the appropriate line item below. Click the Recalculate Prices button when you change the quantities or shipping method. A discount for multiple quantities is automatically computed.
Product Selection
Description Cost Per-User Discount Each Quantity Amount
1. Source Insight 3.5 Electronic Delivery (media not included)
  Note: Documentation available on web site
$239.00 - $0.00
2. Source Insight 3.5 Package CD $255.00 - $0.00

3. Upgrade to Source Insight 3.5 Electronic Delivery $89.00 - $0.00
4. Upgrade to Source Insight 3.5 Package CD $99.00 - $0.00
 If upgrading, please provide the old serial number(s):
 
    Subtotal: $0.00
Shipping Method:
Note: There is no shipping charge for Electronic Delivery.
  Shipping: $0.00
    Tax: $0.00
  Total: $0.00

2. Enter Your Shipping Address

Please enter your delivery address and contact information. For shipped orders, we cannot ship to a P.O. box.
Items marked with * are required.
Shipping Information
First Name:*    View Privacy Policy
Last Name:*
Company:
Address1:*   Note: we cannot deliver to a P.O. Box
Address2:
Address3:
City:*
State or Province:*
Zip or Postal code:*
Country:
Telephone:*   Ext: 
Fax:
User E-mail:*   Electronic delivery is mailed to this address
Please send me e-mail about Source Insight updates or new releases. Source Dynamics does not sell or rent its customer lists, and will not share your contact information.
I can accept HTML e-mail
Comments:

3. Enter Payment Information

Please enter your credit card information.
Payment Information
Credit Card Type:
Card Number:  View Privacy Policy
 
Cardholder Name:
Expiration Month:
Expiration Year:
Security Code:    Enter the card verification number found on the back of the card.

4. Billing Address

Please enter your billing address if it differs from your address above. Items marked with * are required.
Billing Address
Same as shipping address
Contact Name:
Company:
Address1:*
Address2:
Address3:
City:*
State or Province:*
Zip or Postal code:*
Country:*
Tel:*
E-mail:*

5. Submit Your Order

Click Submit Order to complete your order. You will see an order summary next, which you will need to confirm before finalizing the order.

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