Product: PowerOutletAP;                     

TO PRINT THE DOCUMENT,  CLICK ON "Print" ABOVE.
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To register, make check or money order payable 
to "Absolute Protect", print out this order form and send 
it along with check or money order to this address:
 Absolute Protect, 2938 Dundas W #694, 
 Toronto, M6P 4E7, Canada


Calculate your payment total:

PowerOutlet receptacle .................          US$ 160
Additional option (Child protected)               US$ 5+
To be sent by mail, add shipping and handling fee US$ 5+______
Units number                                            ______
If you making payment by check or money order
subtract discount  US$ 4                             - ______
Ontario residents add 15% PST+GST.................   + ______
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                         Total payment:              _________

Enter your name exactly as you will use it to unlock the program.
            Name: ______________________ Date:___________
         Company: _______________________________________
         Address: _______________________________________
City, State, Zip: _______________________________________
         Country: _______________________________________
       Day Phone: ______________  Evening phone _______________
   EMail address: ________________________________

Signature ____________________
How did you hear about AbsoluteProtect? _______________________
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We also take orders outside the USA. Payments must be in US dollars .
Be sure to contact Absolute Protect for support directly, not your 
local retailer.
END