Please complete all fields and click the SUBMIT button. A representative from On-Line Data Corp. will contact you to confirm your order and payment options.
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First Name
Last Name
Company
Address
City
Prov/State
Postal/Zip Code
Country
Phone
Fax
E-mail Address
Primary Job Function
Which version(s) of QWiTS are you upgrading from?
v 1.0
v 2.0
v 3.0
QTY
AMOUNT
QWiTS 4.0 (US)
X $255 USD =
QWiTS 4.0 (Canadian)
X $357 CDN =
25% Discount for Current QWiTS Users (Please enter current serial number[s] separated with commas)
Subtotal
Canadian orders add 7% GST
Canadian orders add 8% PST
PST Exemption Number
TOTAL*
I do not wish to receive fax or email notifications from On-Line Data.
*Shipping costs will be calculated and added at time of order confirmation.