#1-PC Diagnostics Company
OFFLINE Order Form

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Please Note: THIS IS NOT AN ONLINE ORDERING SYSTEM. This Order Form must be printed, filled out, and sent to us at the
address shown below (via fax, mail, email or phone) for order processing. All checks must be in US dollars drawn on a US Bank.

Date	_______________ Name___________________________________________________
Company	________________________________________________________________________
Address	________________________________________________________________________
City	________________________________________________________________________
St/Prov	_______________________________________ Zip/Postal Code___________________
Country	________________________________________________________________________
Phone	__________________________________ Fax__________________________________
Email	________________________________________________________________________

PRODUCT LIST	PRICE		QUANTITY	TOTAL
#1-TuffTEST-Pro (no shipment - available via Download Only) ...................	$29.95		___________	___________
#1-TuffTEST (no shipment - available via Download Only) ..........................	$9.95		___________	___________
*#1-TuffTEST-Pro TEST Plugs (postage paid in USA) ...................................**	$29.50		___________	___________
*#1-TuffTEST-Pro TEST Plugs (postage paid Outside USA) .........................**	$34.50		___________	___________
BCM Diagnostics Pro (no shipment - available via Download Only) ............	$27.95		___________	___________
* Note - TEST Plugs are shipped via Air Mail			Subtotal	___________
California Residents - ADD 7.75% Sales Tax				___________
Method Of Payment:			TOTAL	___________
1. Enclosed_____ 2. VISA_____ 3. MC_____ 4. AMEX_____ 5. Discover_____
Account #: __________________________________________________________ Expiration Date:____________________
Name on Card:_________________________________________ Signature:________________________________________ (Please PRINT Clearly!)

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Home | Products | Downloads | Free | Upgrades | Links | About | Privacy | Support | FAQ | Licensed User Area

#1-PC Diagnostics Company
25 Bellam Blvd, Suite 250, San Rafael, CA 94901
phn (415) 456-2200 ~ fax (415) 456-2244

E-mail us at: 1pcdcsales@tufftest.com

Site established 01-Nov-1996
Page last updated 17-Apr-2006

Copyright © 1996-2006, #1-PC Diagnostics Company, All Rights Reserved