Printable Order Form

Please fill out and print the following order form:

Acrasoft
1500 Calloway
Bakersfield, CA 93312
Acrasoft Order Form Sales: (661) 588-2339
sales@acrasoft.com

Please complete the following information and fax or mail this form with payment.

Name:

Address:

Company: City:

Phone: State/Province:

Fax: Postal Code:

E-Mail: Country:

Registration Name:
(6 characters min. 32 characters max. If different from purchaser name)

Once you have registered, an E-mail message will be sent to you with your registration information. This is the most efficient way and will save you shipping costs.

# of LogWatcher Licenses Cost per License $ Subtotal $

# of AutoPilot Licenses Cost per License $ Subtotal $

# of MessagePad Licenses Cost per License $ Subtotal $

# of GroundControl Licenses Cost per License $ Subtotal $

CD? Yes/No

If Yes include shipping cost as described below.

Shipping: USA $6.00 / Mexico and Canada $8.00 / All others $10.00 Shipping $

California Residents: Please add 7.25% sales tax. Tax $

Total $

Payment Method

Check Money Order P.O. (attached)