Due Dutch System Software Order Form

1.)   Please print and complete this order form.   This form is not necessary to place an order, but please include all necessary information with payment.   If you choose to send CASH in US Dollars via the mail, there is a chance that it could be lost or stolen!   We cannot be responsible for cash payments that do not arrive here successfully.   Use this method at you own risk.

2.)   For continental U.S. enclose your check or money order.  Charges include handling and shipping shipping via US Postal service first class mail.

3.)    For International orders please send: INTERNATIONAL POSTAL MONEY ORDER or CERTIFICATED BANK CHECK PAYABLE IN U.S. DOLLARS additional shipping charges may apply.  Email us for exact shipping charges.

4.)    Software CD ........ $ 69.95             or             Palm Z22 with program loaded and Software CD  ..............  $189.95

 

Please make checks or money orders payable to: PJF

Mail To:            PJF

                      27601 Sun City Blvd.   Suite 138

                      Sun City   CA      92586

              


Ship to:     Name:     ____________________________________________

                    Address: ____________________________________________

                    City:__________________________  State:________  Zip:_____________

                    Country: _____________________   if other than USA

E-Mail Address: ________________________________ not required   (PJF use only ...We will verify receipt of order and ship date via email if present.)