GungaWeb 2015 Order Form

You may order any number of GungaWeb UserIDs for individual use at the rate of $249/year per UserID. Individual UserID's may not be transferred or shared. For each individual UserID ordered, reproduce this order form, supply the following information and process payment to Due Process Software for $249.00 times the total number of UserID's requested:
Name________________________________________________
Title________________________________________________
User's E-mail address________________________________________________
Address________________________________________________
________________________________________________
City, State Zip________________________________________________
Tax Exempt #________________________________________________
Contact person________________________________________________
Phone________________________________________________
Date of order________________________________________________
Authorized Signature________________________________________________
For Fastest Service: If you are able to receive your invoice via e-mail as a PDF attachment, indicate an e-mail address for billing purposes ________________________________________________

New users will be notified by e-mail of UserID and initial Password upon account activation and an invoice will be sent to you with payee ID information. For further information or for questions concerning your order contact dewoodin@gungaweb.com or leave toll-free voice mail at 888-453-1921.

Return completed form together with any required purchase order to:

Due Process Software
P.O. Box 433
Catskill, New York 12414

Note: For fastest service, fax completed order forms to 888-453-1921