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Order Form

 

You can use any one of the following methods to order SCSI Pro from Mirus:

  • Print out then fax the order form to: 301-460-0106
  • Call 970-231-3782 to directly place an order
  • E-mail purchase request to E-MAIL SALES

The order form below is intended to faciltate your order.  Try to complete as much of this form as possible prior to submitting...

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Name
Title
Organization
Street address
Address (cont.)
City
State/Province
Zip/Postal code
Country
Phone
FAX
E-mail
WWW URL

 

Please select the product and quantity you are ordering:

Product name
Quantity

          SCSI Pro Lite, SCSI Pro Professional  and SCSI Pro Professional Plus all come with 90 days support.

          *Internet Price $100 discount.  The price savings is due to our emailing the software and manual instead of shipping the software and manual in a box.                           

          

          Please provide the following billing information:

Credit card
Cardholder name
Card number
Expiration date

 

Please provide the following information:

Shipping Method
FedEx Account #

 

SHIPPING ADDRESS (if different than above)
Street address
Address (cont.)
City
State/Province
Zip/Postal code
Country

 

Additional shipping information if needed:


 

 

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