Softwrights, Inc. Mail Order Form

Note: This form is for United States customers only

  1. Print this page (press Print icon or use Print command from the File pull-down menu)
  2. Fill out your Name, Address, etc. below.
  3. Specify the Quantity & Extended Price of each product you want.
  4. Fill out the Subtotal, Sales Tax & Total amounts.
  5. Write check or money order for Total amount payable to: Softwrights, Inc.
  6. Send check & this form to: Softwrights, Inc., 921 Crescent Drive, Dearborn, MI 48124
Name & Company (if appropriate):

Address:

City, State, Zip Code:

E-Mail Address (Optional... Used only to notify you about special deals and new/updated products ... From Softwrights only):


Product
Unit Price Quantity Extended Price
(Unit Price times Quantity)
Softwrights Reminder - Lite Edition
(Floppy Disk) 		13.95

Softwrights Reminder - Multimedia Edition
(Floppy Disk) 		19.95

Softwrights Stop Button - Lite Edition
(Floppy Disk) 		6.95

Softwrights Stop Button - Multimedia Edition
(Floppy Disk)		 9.95

You'll Soon Be Typing
(Floppy Disk)		 37.95

Subtotal
(Extended Price total)
6% Sales Tax
(Michigan residents only)
Shipping
(via U.S. Priority Mail) 		$6.00
Total
(Subtotal+Shipping+Tax)