For phone orders using your corporate credit card:
Call: 1-248-686-1982
For FAX orders:
Fax to: 1-323-316-9612
For Postal Mail orders:
DevComponents LLC
24312 Knollwood
Novi, MI 48375
U.S.A.
A purchase order must be faxed or mailed to us with all necessary information
including billing information.
User information: (Note that e-mail address is required) |
|
| First Name, Last Name: | ______________________________________________________________ |
| Company: | ______________________________________________________________ |
| Address line 1: | ______________________________________________________________ |
| Address line 2: | ______________________________________________________________ |
| City, State, Zip/Postal Code: | ______________________________________________________________ |
| Country: | ______________________________________________________________ |
| Phone number: | ______________________________________________________________ |
| E-mail address (required): | ______________________________________________________________ |
Order information: |
|
| _______ | Single License, Unit Price: $249 |
| _______ | 4 Developers License Pack, Unit Price: $697 |
| _______ | 10 Developers License Pack, Unit Price: $1494 |
| _______ | Single License w/ source code, Unit Price: $299 |
| _______ | 4 Developers License Pack w/ source code, Unit Price: $837 |
| _______ | 10 Developers License Pack w/ source code, Unit Price: $1794 |
| _______ | Site License w/ source code, Unit Price: $1999 |
If you're paying with a credit card, please fill out the following information: |
|
| Name on credit card: | ______________________________________________________________ |
| Address on file with credit card company: | ______________________________________________________________ |
| City, State, Zip/Postal Code, Country: | ______________________________________________________________ |
| Credit card type (circle one): | Visa / MasterCard / American Express / Discover (Novus) |
| Credit card number: | ______________________________________________________________ |
| Credit card expiration date (Month/Year): |
_____/______ |
| Yes, I authorize DevComponents to charge amount above: | _______________________________________ Sign here |