Auto Lay-up Order Form

Fill out, print to PDF, then email the PDF to haroldshields@mac.com.

Ship To
First Name: Last Name:
Company:
Address Line 1:
Address Line 2:
City: State:
Zip: Country:
Phone: Fax:
Email Address:
Purchase Order #:

Product Qty Unit Price Ext Price
Subtotal:
Shipping & Handling (US only. Email me regarding Int. orders):
Grand Total (US dollars):

Upgrades can only be purchased by current registered users of Auto Lay-up 3.x. Include current serial numbers as read with the Auto Lay-up Key Reader.
Upgrades include trade-in of old ADB or Aladdin USB key to new Rainbow USB key if necessary.
Include old key(s) when upgrading to new Rainbow USB key(s).
Corporate purchase orders accepted with 30 terms.
Contact me for volume discounts on orders of 10 or more.
All orders are shipped via USPS Express Mail.

Send a check or money order in US funds for the amount of the grand total to the address below

OR

make payment via PayPal.com (to haroldshields@mac.com) and deduct 5% from the subtotal.

Harold Shields Consulting
4413 NE 27th Avenue
Portland, OR 97211 USA

Voice: 503-803-7599
Email: haroldshields@mac.com