Use this worksheet to order your purchases.  Please Print Clearly. Please make sure to fill in the required information in order to expedite processing. Then, conveniently fax your order to Comeau Computing at 212-412-9014.  You may email it as well, so long as all the required information is provided. Note that ALL product parts are available electronically. Shipping is electronic via "FTP get". We will normally provide you with the file name within 24 hours. Consider decreasing your browser's font size, or printing in landscape mode, if necessary. Thank You.

SHIP TO (Do not specify a PO Box, or just an email path): BILL TO (If different from SHIP TO information):
Name
Title
Company
Addr
Dept
City/State
Zip Country
Phone
Fax
Email
Where did you hear of Comeau C++?
 Name
Title
Company
Addr
Dept
City/State
Zip Country
Phone
Fax
Email

METHOD OF PAYMENT (required):
Use a Credit Card (check one):
VISAMasterCardAmerican ExpressDiners ClubCarte BlancheJTC
Card # (required):
Expiration Date (required):
Full Card Holder Name (required, print):

I have fully read the literature, and do hereby authorize and agree to this order and shipping charges (required signature here):

A copy of the front and back of the credit card is requested.		 Send a Check (check one):
    Company     Personal      Traveler's
Checks must be in US dollars from a US bank.

PayPal SEE http://www.comeaucomputing.com/pp for instructions to pay with PayPal!
     We MUST ok your order worksheet BEFORE you submit your PayPal transaction.


SHIPPING
Electronic shipping
Shipping is electronic via FTP get. We will provide you with the file name. Product parts sent electronically.  The manual is available online.

LEGEND: (1) Use full version/model number below    (2) Which C compiler backend will you be using?    (3) a=electronic
==> NY residents add sales tax.  All funds in US dollars.  All orders must be prepaid.  Attach PO/copy of credit card if applicable <==
YOUR ORDER Change sample info All fields required        

Product Description1
NOTE IF FOR BETA OR NOT!!

Operating System1

Your Machine1

Which C?2

Media3

Quantity

Price
         

Subtotal
         

Shipping
         

Sales
Tax
         

Total(required)

YOUR AUTHORIZATION (required, even if signed above):
Purchaser (print) Title
I have fully read the literature and license and do hereby agree to this order and shipping charges (authorized signature):