Bates Stamp Version 17 Upgrade Order Form

Use this form if you are a Registered Customer with Bates 2009 or later version
Note: Additional user license upgrades are for current (Bates 17) network versions only.
Please place a check mark in the box for the item(s) you would like to order add sum of items, then enter the amount in the Total of Order box.
All prices are US Dollars.

Please provide the following information: (Red Fields are Required)

	Bates Professional 17 All Formats - Email, Manual Stamp, Barcode - Network or Workstation - 1 to 5 user/seat license	349.00
	Bates Single Pro 17 All Formats - Email, Manual Stamp, Barcode - Install on Workstation..Download .. One User/One Computer per purchase	229.00
	Bates electronic Pro 17 Email, Barcode, PDF, Tiff, Graphic files only Install on Network or Workstation - 1 to 5 user/seat license	299.00
	Bates electronic 17 Email, PDF, Tiff, Graphic files, Barcode - One User/One Computer per purchase	149.00
	Bates Paper Pro 17 Paper only - Labels, Paper Documents, Barcode - Download Network version Network or Workstation 1 to 5 user/seat license	299.00
	Bates Paper 17 Paper only - Labels, Paper Doc's, Barcode - One User/One Computer per purchase	149.00
	Add for Program Backup CD (includes S&H)	14.00
	Add Five Network User Licenses @ $100 (Current Network Programs Only)
	Special Order - Processing & Handling Fees	30.00
	Total of Order - $

End User	*Type your Firm name below exactly as you want it displayed on the Bates Program Screen*
*Firm Name*
*Cust/Ord #*	*?'s please call.*
Address 1
Address 2
City
State/Province	Zip/Postal
Country	If not USA
Phone
Ordered by
E-mail
Firm Website

BILLING	Credit Card Holder Information
Name
Address
City
State/Province	Zip/Postal
	Credit Card Information
Credit card
Card Number	no spaces please
Security Code	AMEX front of card - Visa/MC back of card
Expiration Date
Comments

If Shipping information is the same as End User information, you can leave it blank.

	SHIPPING
Firm
Contact Name
Address 1
Address 2
City
State/Province
Zip/Postal code
Phone
E-mail
Country
Comments:

Thank You

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