Creative Softworx, Inc. Order Form

Mail To: Creative Softworx Inc. 1070 Chasewood Trail Alpharetta, GA 30005 USA	Fax To:(678)935-9614	Or Call: (800)680-9679 (770)569-7545
Instructions: Fill out this form and select the File/Print menu item OR select the File/Print menu item and manually complete form, printing CLEARLY and DARKLY. Next fax or mail the completed form. This form does NOT transmit data over the Internet.

Quantity	License	Cost	Total
	Capture Professional v6 Single Workstation License	$38.95	$
	Capture Professional v6 Five Workstation License	$144.95	$
	Capture Professional v6 Ten Workstation License	$249.95	$
	Capture Professional v6 Twenty Workstation License	$419.95	$
	Capture Professional v6 Fifty Workstation License	$879.95	$
	Capture Professional v6 One Hundred Workstation License	$1299.95	$
	Capture Professional v6 Organizational License	Please Call
Total Order			$
Shipping Chart: (CHECK ONE)		Shipping	$
FREE - Send download instructions via E-mail only $5.00 - US Mail (US Orders Only) $18.00 - Next Business Morning FedEx (US Orders Only) $13.00 - Second Business Day FedEx (US Orders Only) $10.00 - Third Business Day FedEx (US Orders Only) $7.00 - International Mail (Non-US Orders Only)		Georgia Residents Add 7% Sales Tax	$
Final Total			$

Method of Payment
Check	Must be drawn on a US bank and accompany this order form.
VISA MasterCard Discover American Express	Account Number: Expiration Date: / CCV2 Code: Credit Card Billing Address: I agree to pay the above Final Total according to card issuer agreement
Thank you for your order! Creative Softworx reserves the right to correct all orders for correct shipping and sales tax collection. Purchase is non-refundable. This order form is invalid after March 31st, 2008.