Delfyn Software Offline Printable Order Form

Desktop Dolphin Coloring Book Multiple and Site License (includes 1 CD-ROM)

This printable form is provided for offline orders sent by regular postal mail.

Name: _______________________________________________________________________
Organization: _______________________________________________________________________
Address: _______________________________________________________________________
Address: _______________________________________________________________________
City: _________________________ State/Province: _____________ Zip Code:_________
Country: _________________________ Phone Number: ______________________________
Email:
_____________________________________
(please print clearly)
Alternative Email:___________________
 

Check the version of Desktop Dolphin Coloring Book you wish to purchase:
Qty License Type
Price USD
Amount Due
  5 Computers (includes 1 CD-Rom)
$59.95 
 
  10 Computers (includes 1 CD-Rom)
$95.00 
 
  25 Computers (includes 1 CD-Rom)
$195.00
 
  Unlimited Site License (includes 1 CD-Rom)
$295.00
 
 
(Orders within the U.S.A. - Free / Canada $3.00 / International $5.00)   Shipping 
 
 
Subtotal 
 
 
Washington State residents add 7.5% Sales Tax  
 
   
Total Amount 
 

Payment Method
  ___ Check or Money Order Payable to Delfyn Software
Orders outside the U.S., please send International Money Order
  ___ Credit Card
   ___ Mastercard   ___Visa    ___Diners Club
Card # ________________________________________ Expiration Date: __ __ /__ __ (MM/YY)
Cardholder's Name:_________________________________________ Zipcode:______________

Please mail this form along with payment to:

Thank you for your Order!

Delfyn Software
P.O. Box 421
Ione, WA 99139