| EquineMax Order Form |
Please print, complete and mail or fax to:
EquineMax Software
P.O. Box JG
College Station, TX 77841
Fax: (877) 637-8463
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Name:_______________________________________________________________________
Farm:_______________________________________________________________________
Mailing Address:_______________________________________________________________
City/State/Zip:_________________________________________________________________
Phone Number:________________________________________________________________
E-mail:_______________________________________________________________________
How did you find out about EquineMax? (website, tradeshow, advertisement, recommendation, etc)
| ____________________________________________________________________________ |
About your horse farm? (breeds, disciplines, etc)
| ____________________________________________________________________________ |
Credit Card Information (if paying via credit card):
| Card Type Visa Mastercard Discover American Express |
| Card Number ______________________________________ Exp ____________ CVC ____________ The CVC (card verification code) is a 3-digit number located on the back of the credit card) |
Do you need EquineMax on more than one computer? If Yes, how many more? ($50 each): ______
Any questions or comments?
| ____________________________________________________________________________ |
Total amount: (software & addl computers) _________