inKline Global Product Purchase Form





We accept Credit Card, Personal Check (drawn on US Bank Only), Money Order, 

International Money Order or Cash. Please make funds available in US Dollars 

only, payable to inKline Global, Inc.



	inKline Global, Inc.

	P.O. Box 5479

	Reno NV 89513

	USA





Customer Details (Please type or print clearly)



Name			______________________________________________________



Company			______________________________________________________



Address			______________________________________________________



City/Town		______________________________________________________
		


Province/State	______________________________________________________



Country			______________________________________________________



Telephone		______________________________________________________



Fax				______________________________________________________



E-mail			______________________________________________________





Where did you get this program from? _____________________________



[pls tick]

Payment:	[ ] Credit Card (see below)		[ ] Check, Money Order

			[ ] Cash (take your chances)





[Qty] Products												Price	Subtotal



[   ] Modem Booster for Windows 95/98/NT/2000/XP			$24.95

[   ] My Favorites for Windows 95/98/NT/2000/XP				$25.95

[   ] Oligo for Windows 95/98/NT/2000/XP					$29.95	

[   ] PC Booster for Windows 95/98/NT/2000/XP				$29.95

[   ] RedBox Organizer for Windows 95/98/ME/NT/2000/XP		$39.95

[   ] Security Booster for Windows 95/98/ME/NT/2000/XP		$39.95

[   ] Stay Connected! for Windows 95/98/ME/NT/2000/XP		$24.95

[   ] Visual Calendar Planner for Windows 3.x/95/98			$29.95

[   ] Visual Day Planner for Windows 95/98/ME/NT/2000/XP	$29.95

[   ] PureRadio for Windows 95/98/ME/NT/2000/XP				$19.95





*Optional CD-ROM
	
[  ] inKline Global CD-ROM containing latest versions of    $ 9.95

     the above-mentioned products (Shipping & Handling is non-refundable)





*Note: Purchasing the CD alone does not constitute you the use of the program(s) 
 without a license. You are required to purchase the above program license(s) for 
 unlock code(s).






[  ] Nevada residents please add 7% sales tax





												Grand Total: ____________________







This Section To Be Filled For Credit Card Payment Only

We can only accept Visa, Mastercard, American Express, or Discover card. 

We will need the following information:



Credit card number: 	_______________________________________________________


Expiry Date:			_______________________________________________________


CVV/CID code: 			_______________________________________________________


The name as it appears on the card: 



____________________________________



The signature of its owner authorizing inKline Global, Inc. to debit it for 

the amount indicated above:





_____________________________________________________________________





Comments



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