SUPPORTWORKS ORDER FORM
Piper Software Productions, Inc. - 2864 Atoll Drive, Lewis Center, OH 43035

 


Contact Person:

    __________________________
 
Phone:

    __________________________

Firm Name:

    __________________________

Fax:

    __________________________

Mailing Address:

    __________________________

Email address:

    __________________________

City, State, Zip:

    __________________________

Network?

     YES      NO

 

Quantity

Product

Base Price

         Total
___ New Version 5.6 SupportWorks Licenses @ $260.00 ea. =     __________
___ Upgrade Licenses from Version 5.5 (w/new CD) @ $80.00 ea. =     __________
___ Upgrade Licenses from Version 5.1 @ $182.00 ea =     __________
___ Upgrade Licenses from Version 4.0 to 4.6 @ $234.00 ea. =     __________
___ Special price for one additional New License ($130.00) =     __________
___ Special price for second additional New License ($208.00) =     __________
 

 

$8.00 Shipping and handling per disk    __________
Subtotal    __________
Ohio & County Sales Tax    __________
Total    __________
 
Please provide your Registration Code      
 


(The registration code is obtained from the registration box which appears on your system when you first open the Supportworks program.)