To order by fax, use the following form.  You can type in most of the information directly, which saves you time and keeps the information legible through the faxing process. When you have completed the onscreen portion, print the form and write in the remaining information (Quantity, Subtotal, Total, Date and Signature). Then fax the completed form to the fax number at the bottom of this document.
Orders requiring shipping must be placed by phone or web store.
 
  Order Details
SKU IDProductU.S. $Qty.Subtotal
SKU0120786089 PC DOC PRO - GOLD 30
Say goodbye to PC problems in a snap. PC Doc Pro is a safe and easy way to diagnose and repair PC problems. Order today and you will also get 30 days LIVE SUPPORT access to our Microsoft Certified Systems Engineers (MCSE) to help you diagnose and fix ANY unsolved problems on your PC. As a special bonus for today only - get bonuses worth over US$199 including Screenotes, StartUp Manager, NetXcelerator and Powertips. Hurry, we cannot keep prices like this for long 		$29.95
SKU1614301918 PC DOC PRO - PLATINUM 365 Multi-Pack
MOST POPULAR! YEAR ROUND PROTECTION FOR UP TO THREE PCs Say goodbye to PC problems in a snap. PC Doc Pro is a safe and easy way to diagnose and repair PC problems. Order today and you will also get 365 days LIVE SUPPORT access to our Microsoft Certified Systems Engineers (MCSE) and bonuses as above worth US$199 		$77.95
Total: 
 
  Please type your information into all areas that allow text entry.
Then print this form and write in the remaining information.

Billing Information
First Name:  Last Name: 
Company Name: 
Address:
    
    
City: 
State:  Postal Code: 
Country:  Phone: 
Coupon: 
VAT ID: 

Credit Card Information
Check credit card type:
Visa MasterCard Discover American Express
Card Number: 
Three- or four-digit security code, separate from the card number, typically on the back of the card:
Expiration Date: 
Date: Signature:

E-mail address to receive your registration/download instructions
E-mail address: 

Faxing Instructions
eSellerate for PC Doc Pro .
Fax:
U.S.: 402-323-6611
Intn'l: (+1)402-323-6611

By faxing this completed form to eSellerate, you are placing an order with PC Doc Pro .

Standard hours of operation are
9 a.m. to 5 p.m. CT Monday-Friday.
(current time: 5:53 PM CT )

eSellerate is the e-commerce provider for PC Doc Pro . Should you have any questions, you may contact us at:

support@esellerate.net
PC Doc Pro :  
eSellerate Security & Terms