Order Form:   Please Print and Fax to   (949) 340-9690

Bill To:

Name________________________________ Company____________________________

Address_____________________________ City_______________________________

State____________ Zip_______________ Country____________________________

Phone_______________________________ Fax________________________________

E-Mail______________________________ Find us? __________________________


Ship To if different:

Address_____________________________ City_______________________________

State____________ Zip_______________ Country____________________________

Phone_______________________________ Fax________________________________


Operating System? Windows 98, Windows 2000, Windows XP, Windows VISTA, Windows 7

  Software Name:__________________________________
  
  Software Version:_______________________________

  Dongle type:____________________________________

PROTECT YOUR INVESTMENT
Yes, I want to protect my investment. I understand, the use of this software is to provide for protection of loss, damage or incompatibility of my hardware lock device which I now possess. This software is not intended for the copying and or distributing of licensed software products. I or my company is the licensed user of the software and I agree to use the software according to all license agreements. I have read, understand and agree to the disclaimer & the pricing page. I specifically understand that goods purchased from Endless Visions may not be returned for credit or refund.

I agree to the terms above.  I authorize Endless Visions to process charges against
my credit card.

 VISA  MC  AMEX (please circle one)

Credit Card   Cashiers Check   Money Order (circle one)

CC#_________________________________________ EXP.DATE:_______________ CCV:__________


NAME:_____________________________ Cardholder Signature:____________________________