Order form for HelpKit HTML Help Authoring Solution - Please print and include with your order.

For Telephone orders:
Toll-Free: 1 800 999-2734
Regular: 1 (719) 576-0123

For FAX orders:
Regular: 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 email address is required)
First Name: ______________________________________________________________
Last Name: ______________________________________________________________
Company: ______________________________________________________________
Address line 1: ______________________________________________________________
Address line 2: ______________________________________________________________
City: ______________________________________________________________
State/Province: _____
Zip/Postal Code: ________________
Country: ______________________________________________________________
Phone number: ______________________________________________________________
Email address (required): ______________________________________________________________

Order information:
Indicate the number of licenses of the HelpKit HTML Help Authoring Solution you would like to order.
_______ Single License, Product ID: 7401, Unit Price: $169
_______ 3 Licenses Pack, Product ID: 7402, Unit Price: $399
_______ 5 Licenses Pack, Product ID: 7403, Unit Price: $599
_______ 10 Licenses Pack, Product ID: 7404, Unit Price: $1299

If you're paying with a credit card, please fill out the following information:
Name on credit card: ______________________________________________________________
Credit card type (circle one): Visa / MasterCard / American Express / Discover (Novus)
Credit card number: ______________________________________________________________
Credit card expiration date
(Month/Year):		 _____/______