Act4Advisors Order Form
Software Requires ACT! Version 5.03+ or greater.

Contact Information
DATE:
             
Name:
 
Company:
 
Address:
 
City:
 
State:
 
Zip Code:
 
Telephone:
 
Fax:
 
Email Address:
 
Broker Dealer Affiliation:
 

Product List
Quantity
Product
Unit Cost 
Amount
 
Act4Advisors Single User
$199
 
Act4Advisors 2 User Network
$299
 
Act4Advisors 5 user Network
$499
  
Act4Advisors 10 user Network
$899
 
Office Lite (Act4Advisors and ACTScan)
*Single User License Only
$369
  
 
Easy Office (Act4Advisors and Laser App)
*Single User License Only
$549
  
 
Paperless Office Pro (Act4advisor, ACTScan, Laser App)
*Single User License Only
$699
  
 
7% Sales Tax for GA Residents
 
 
Shipping is $9.50
 
Total:
 
*Call 1.800.831.7636 to purchase multiple licenses.
Credit Card Information
(circle one)          Visa         Mastercard         Amex            
Credit Card Number: Expire Date:
Name as it appears on Card:  
Credit Card Billing Address:  


Please sign your name________________________
                                            Customer Signature

Be sure to enter in a quantity and multiply by price. 
Georgia residents must add 7% state tax.

Attach a check made payable to Allied Financial Software, Inc. and mail to:

Allied Financial Software, Inc.
11800 Northfall LN, Suite 1404
Alpharetta, GA 30004

Call 800-831-7636