Company Name Address Address City State and Zip Contact

Phone No

Fax No

Email Address

Enhancement Enhancement Enhancement Enhancement

Price Price Price Piece

Version of Peachtree

Serial Number of Product

Credit Card Amex

MC

Visa

Discover

Card Number

Exp Date

Security Code

Name on Card Billing Address Signature Certified Consultant Number

If you are a certified consultant call to register You have ordered the above enhancements and you agree to pay for them via the credit card information you have provided us. ALL ENHANCEMENTS ONCE REGISTERED ARE NONREFUNDABLE. Internet access is required to download the enhancements. Add $50.00 for a installation CD.

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