CHECKER SOFTWARE ORDER FORM
OR AFFILIATE SIGN UP FORM

To order instantly just fill out the following then click submit then download the software. We will verify your payment and ship your check paper immediately. We do not wait for your check to clear.

Before you choose a purchase option below, Note the following...

• If you are not sure if you want to buy the software, just click here to download it for a free trial. You may want to purchase a few sheets of our check paper to use during your trial (see below). Make sure the software is what you want before you buy it. Because of our free trial, we do not have a refund policy.
• The PRO Version With Support Package includes unlimited support for 90 days. We stick with you until you get your WEB site and our software working together to take advantage of our PRO version's automated E-Commerce features. If you intend to use these features and if your computer and HTML skills are limited, you need this package! Please note that if you buy the PRO version without the support package, you will still get all the support you need. This option is never required, but we hope that if you intend or expect to take a lot of our time for support, or if you later find that you need more of our time than you anticipated, that you will feel better about paying this nominal amount for out time.
• Software prices include 125 sheets of check paper for version 3.0 (enough for 375 individual checks). 3-day priority shipping of check paper is included in all prices in the USA. Outside the USA add $5 US.
• Our system is monitored by humans. It is not fully automatic. If you submit your order then notice a mistake, it is OK to make corrections and submit the order again. You will not be charged twice.

Choose a purchase option... You may order only one item per submission of this form.
	Checker regular & check paper - $49.95
	Checker PRO & check paper - $149.95 - As of February, 2002, a complete bank database is included for all new PRO version buyers! Currently registered owners may buy the bank database. For information send us an email.
	3.0 PRO with support pack & paper - $249.95 This option is for expect to use more than 1 hour of my support time (including phone and Email support) setting up 3.0 PRO to work with their web site. Most people will not need this option.
	Checker PRO & Private Label Version - $199.95
	Checker PRO & Deluxe Re-Seller Package - $499.95 (includes Private Label Version) This option is for those who do not currently own any version of our software.
	Upgrade from Checker regular to PRO & Deluxe Re-Seller Package - $450.00 (includes Private Label Version) This option is for those who already own the regular version.
	Deluxe Re-Seller Package - $350.00 (includes Private Label Version) This option is for those who already own the PRO version.
	Deluxe Re-Seller Package - $300.00 This option is for those who already own the PRO version AND a private label version.

If you just need a few sheets of paper to try out our software or if you already have our software and just need check paper, then choose one of these...
	125 sheets of 3.0 check paper - $ 20
	250 sheets of 3.0 check paper - $ 36
	500 sheets of 3.0 check paper - $55
	1000 sheets of 3.0 check paper - $90
	2000 sheets of 3.0 check paper - $150
	125 sheets of 1.0 check paper - $19.99 Choose this ONLY if you just need check paper for version 1.0 and do not intend to upgrade to 3.0
Choose a shipping option
	3-day priority US mail - within the USA only - free for 125 or 250 sheets Orders greater than 250 sheets will be shipped free via UPS ground.
	Overnight shipping via US Mail - within the USA only - NO PO Boxes!!! - add $15 for the first 125 sheets Any sheets over 125 will be shipped by UPS ground.
	International shipping - outside the USA - add $5 and allow 10 working days 125 sheet orders will be shipped via US Global Priority Mail. Larger orders will be shipped by the least expensive method available.

DESCRIPTION	ITEM
First Name of Person to Ship To
Last Name
Phone - If I can not reach you by phone, I will not ship until your check clears.
Fax (if you have one)
Address to Ship To
City
State or Province
Zip or Postal Code
Country
Email Address (REQUIRED) Your Email address, phone, fax, and shipping address will be given or sold to no one.
If you are paying by Check, the following fields are ALL NEEDED for us to process your order! Refer to the image above for help. Click this "Buy Now" button below ONLY if you are paying by Credit Card... ...then submit your order.
Name of Bank: (Type "Paypal" or click the Buy Now button above if you are paying by Credit Card. or if you are signing up as an affiliate and not buying anything)
Name of Checking Account Holder
City, State or Province, and Zip or Postal Code of your Bank Branch	(use "Paypal" if paying by credit card)
Routing No. (9-digits on bottom left of check) For Canadian checks, the 6th digit must be a dash, hyphen, or minus sign (they're all the same)	(use "987654320" if paying by credit card)
Checking Account Number (to the right of the routing number ) This order form is secure. No one but the intended recipient will be able to read or process your banking information.	(use "1" if paying by credit card)
Check Number Record this check as made out to Bob Stratton	(use "1" if paying by credit card)
Check Date (or date paid using Paypal)
Amount of Check
Check Memo (for display only, can NOT be changed - use the comment field to send us a note with your order)
Your Comments (if you are not ordering and you just want to send us an E-Mail Click here)
If you've already installed Checker then enter the Serial Number from your registration screen. This will complete your software registration. If you don't give us the serial number, you'll have to register from inside the software.
I authorize Bob Stratton to draft my checking account for the check amount shown. THIS SMALL BOX MUST BE CHECKED IF PAYING BY CHECK! (amount can't be entered here)
If you aren't sure if you submitted your order, please wait a minute before clicking submit again. In any case, you will not be charged twice. (Please make sure the form is complete and accurate.) You will be directed to download the software when you...