Order Form - FFP (Fitness Food Planner 1.60)


Procedures
----------

1. Fill out the following form.

2. Email it to:

        Internet:   cjs@io.org

OR 

   Mail it to:

        APS Software Inc.
        127 Tulip Dr.
        Brampton, Ont.
        Canada
        L6Y 3X6  

OR

   Fax it to:

        APS Software Inc.
        (905) 455-4376


3. Include the payment (cheque, money order or VISA).



Order form
----------

1. What is your name?


2. What is the name of your company?


3. What is your address (street, city, state, country, zip)?


4. What is your telephone number?


5. What is your email address (Internet)?


6. How did you learn about FFP?

[ ] Searched through the index of a ftp site
[ ] Recommended by a friend/colleague
[ ] Found it on a BBS
[ ] Found it on a shareware CD or catalogue
[ ] Others. Please state:______________________________________


7. What delivery method would you like?
[ ] Internet email. No need to pay for the shipping
[ ] Air mail. I am in Canada.  (add US$3 for the shipping)
[ ] Air mail. I am out side of Canada, (add US$5 for the shipping)


8. What kind of license you are applying for?
[ ] Individual license           US$ 39
[ ] Organization license       US$ 79


9. Will you pay by cheque or VISA.  If VISA, enter the card number and 
   expiration date here. Also enter the name as it appears on the card.

10. Total amount enclosed?

11. What new features would you like to see in FFP?


I hereby declare that all the information provide here is correct.



	
Signature: _______________________________  Date:_______________

