Visual Forms MD/DC PPT Order Form

Please enter your shipping information: 
Company:
Contact Person:
Street Address:
City:
State:     Zip:    
Phone:
E-Mail:

Please select delivery option:
Please select the state and tax year:
Please select one of the following versions: **
  Single User   ($175.00)   Network   ($300.00)

  Single User CD        ($175+10.50tax+$10)   $195.50
  Network CD        ($300+18.00tax+10)   $328.00

Please select one of the following payment options:
  Check   Credit Card
If paying by Credit Card please select type:
Credit Card Number
Credit Card Expiration Date Month    Year
Credit Card CVV Code CVV Code (on back of card)
Billing Address
Billing City, State, Zipcode

** No Maryland tax will be charged for download only orders. Credit Cards will not be processed until the software ships.

Complete, print and fax to 866-726-5718 or mail along with your check or credit card information to:


Visual Forms, Inc.
P.O. Box 1126
Germantown, MD 20875-1126  

Maryland is usually shipped between the second and forth week of January. The District of Columbia will ship around the middle of June.