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Digital Wisdom Special Orders
Name: 
Email address: 
Organization:
Shipping Address 1:
Shipping Address 2:
City:
State or Province:
Zipcode or Postcode:
Country:
Telephone Number:
Total Product $:
  (total US$ of product only)
Shipping costs:
   Usually zero for FTP transfer - for CD/DVD you will be notified $
Virginia sales tax
   (ONLY for Virginia shipping addresses 5% sales tax)
Total $ to Charge:
  (includes products, tax, and shipping US$)
Computer platform:
Credit card type:
Credit card number:
Credit card expiry month:
 MM Numeric
Credit card expiry year:
 4 digit YYYY
Credit card security code:
Amex: on card front: 4 digits above card number at right - for Visa or MC: on back, 3 digits at end of card number in signature box
Name of credit card holder:
   If different from Order Name above
Special Instructions: 
 
Type the above number:

Digital Wisdom Inc. P.O. Box 11, Tappahannock VA 22560, USA
800-800-8560 | 804-443-9000
© Digital Wisdom, Inc.