Purchase Order

INSTRUCTIONS
Complete the form below then
Print and Fax to (855) 224-1195
OR
Email to sales@BalaBoss.com

To

BalaBoss Software
PO Box 54033, Lawrence Plaza PO
Toronto, ON, Canada M6A 3B7
Telephone (647) 699-9030     Toll-free(888) 635-1111      Fax (855) 224-1195

From

Contact Name:
Company Name:
Address:
Suite:
City:
Province:
Postal Code:
Phone Number:
Fax Number:
E-mail Address:
Total staff at your location:
How did you hear about BalaBoss?
If other please specify:
Which Time & Billing software do you use?
If other please specify:
Which Tax software do you use?
If other please specify:
Workstation Operating System
Network
if other please specify

BalaBoss Client Navigator


Qty

Description


Unit


Total

Single User License

$599

Five User License

$899

Ten User License

$1,599

Twenty-five User License

$3,899

Additional User Licenses
(to any of the above)

$219

Sub Total

Applicable taxes

Data Conversion Deposit

Optional deposit of $500 to reserve data conversion service @ 25 cents/client subject to minimum of $500


Total

Payment method

Payment must precede delivery


Cheque
Visa

Cardholder Name

Card Number

Card Expiry MMYY
Signature
Date

User licenses include free updates and technical support for one year from date of purchase. System requirements: Personal computer with a 486 or higher processor (Pentium processor recommended) ; Microsoft Windows 95 or Windows 98 operating systems (will not run on earlier versions of Windows) ; 32 MB of RAM (64MB recommended) ; 50 MB of available hard disk space ; VGA or higher resolution video adapter ; On installation: Access to a local or network CD drive

INSTRUCTIONS
Complete the form above then
Print and Fax to (855) 224-1195
OR
Email to sales@BalaBoss.com