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Send Payment By Check

Print out this form and complete using PRINT or TYPE in all empty fields. When completed mail check or money order (U.S. Funds ONLY) to ...

DBasics Software Company
P.O. Box 986
Sunrise Beach, MO. 65079
.
Allow 24 Hours Processing Upon Receipt Of Completed Forms

Please write your e-mail address on your check.

Check Item(s) Below:
[  ] $95 Entire CGI Script Package (Save $410)
[  ] $15.00 Server Log Counter Script
[  ] $15.00 Viewing Recent Hits Script
[  ] $15.00 Tracing Visitor Footsteps Script
[  ] $15.00 Webmaster's Security Script
[  ] $15.00 Site Search Script
[  ] $25.00 Post-It Script
[  ] $25.00 File's Management Script
[  ] $25.00 Address Book Script
[  ] $35.00 Password Protection Scripts
[  ] $45.00 Statistical Counter Scripts
[  ] $55.00 WWWBoard Pro Script
[  ] $65.00 WWWAdmin Pro Script
[  ] $65.00 Subscription Site Scripts
[  ] $10.00 1 Year Subscription Today in History
Invoice Nmbr : 

Name/Company : ____________________________

Email Address: ____________________________ (required)

Telephone No : (     ) _____ - __________ (required)

Web Site URL : http://

Choose a Password: ______________________

You agree by submitting payment that all scripts downloaded from 
DBasics Software will only reside within and only be used by the 
domain/IP address entered above in the Web Site URL field.

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Copyright © 2000 All Rights Reserved
DBasics Software Company
P.O. Box 986, Sunrise Beach, MO. 65079