Purchase Order

Belltech Systems LLC
4580 Klahanie Dr. SE, #275
Issaquah, WA 98029, USA
Web address:www.capturext.com, www.belltechsystems.com

Please print and fill out this form and mail to the above address.

Your Company Information:

Company Name__________________________

Company Address________________________

Contact Name___________________________

Contact Phone___________________________

Contact Email___________________________

PO # _________________________________

Order Details

    Qty. Product Name CD-ROM   Price
1.  ____  ______________  Yes/No  __________
2.  ____  ______________  Yes/No  __________
3.  ____  ______________  Yes/No  __________
4.  ____  ______________  Yes/No  __________
5.  ____  ______________  Yes/No  __________

Pricing Guidelines for PO

  • CaptureXT Screen Capture 5-user license: US $127.50
  • Business Card Designer Pro 5-user license: US $149.95
  • Small Business Publisher 5-user user license: US $199.95
  • Greeting Card Designer 5-user user license: US $169.95
  • Label Maker With Data Merge 5-user user license: US $199.95
  • Software in CD-ROM: Please add an additional US $12.95 + $2(shipping) for each CD
  • Volume discount may be available from time to time. Please contact us for more info.

    Shipping Note: Shipping is by USPS 1st class ground. For USPS priority delivery please add $10 more.

    Authorized Signature:_________________

    Full Name:__________________________

    Date:____________________