2008 QPS-WIN Order Form

C&C Computer Designs
P.O. Box 307
Blackwood, NJ 08012
(856) 232-2242 fax 856-232-8855
craig@qwikpackusa.com

You may fill in this order form then print it  and mail it with your check.
you can not order online using this form.

  Qwik Pack & Ship        
Name:        
Add:
City: St: Zip:
Phone#        
 Fax:        
e-mail address:        

{PLEASE PRINT NEATLY}

     Enclose is this year's order form. Please fill in all the information and mail your order form to the address listed above. PLEASE PROVIDE A CURRENT E-MAIL ADDRESS. 

QTY Description Price Total
1 QPS-Win Rate Charger 2008 Update $155.00 $155.00
Mail Me My Install CDRom via US Mail $25.00
  Ship me my CDRom and bill my ups shipper number
Provide your shipper Number
and ship it to me using
[Next day] - [2nd day ] - [3 day] - [ground ]		    
       
 

Due Without CDRom

 Grand Total
 

Due With CDRom

 Grand Total

 

     You must have an internet account with an e-mail address. You can sign up for free internet access through companies like {netzero.net} or get one of aol disks that offer free hours. Free e-mail addresses be received through www.hotmail.com

      Please complete and mail this sheet with your payment to the address listed above made payable to C&C Computer Designs. Time is of the essence!
Please Call me 856-232-2242 when you are mailing check for your Username & Password
If you fax a copy of this form and a copy of your check I will email you your passwords fax to 856-232-8855